SOUTHERN ROCKIES ADDICTION TREATMENT SERVICES (NPI# 1811409733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811409733 |
Entity Type | Organization |
Organization Name | SOUTHERN ROCKIES ADDICTION TREATMENT SERVICES |
Other Organization Name | SUTTLE STREET CLINIC/TMS DURANGO |
Practice Address |
72 Suttle St Unit M Durango CO 81303-6829 |
Practice Telephone | 9704264410 |
Practice Fax Number | 9704264413 |
Mailing Telephone | 9704264410 |
Mailing Fax Number | 9704264413 |
Enumeration Date | 2017-11-01 |
Last Update Date | 2018-04-19 |
Authorized Official Name | ERIN LYNN HARRIS (DIRECTOR OF ADMINISTRATIVE OPERATIO) |
Authorized Official Telephone | 9704264430 |
Is Organization Subpart | Y |
Parent Organization Name | SOUTHERN ROCKIES ADDICTION TREATMENT SERVICES, INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Suttle Street Clinic/TMS Durango | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033629431 | Southern Rockies Addiction Treatment Services | Substance Abuse Rehabilitation Facility | 736 Goeglein Gulch, Durango, CO 81301 | 2017-10-11 |
1891161683 | Southern Rockies Addiction Treatment Services | Clinic/Center | 450 S Camino Del Rio, Suite 102, Durango, CO 81301-6856 | 2015-08-15 |
Street Address |
72 SUTTLE ST UNIT M |
City | DURANGO |
State | CO |
Zip Code | 81303-6829 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033277371 | Daniel Seth Caplin | Emergency Medicine | 72 Suttle St Unit M, Durango, CO 81303-6829 | 2006-12-05 |
1508425273 | Four Corners Ketamine Center Inc | Clinic/Center | 72 Suttle St Unit M, Durango, CO 81303-6829 | 2019-06-06 |
1255821740 | Colorado Addiction Treatment Services Inc | Family Medicine | 72 Suttle St Unit M, Durango, CO 81303-6829 | 2018-05-10 |
1629515689 | Jennifer Miller | Registered Nurse | 72 Suttle St Unit M, Durango, CO 81303 | 2017-01-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548870603 | Durango Surgery Center LLC | Clinic/Center | 1266 Escalante, Suite 101, Durango, CO 81303 | 2020-08-04 |
1659891489 | Sarah Raeghan Dessel | Behavioral Analyst | 2432 County Road 220, Durango, CO 81303 | 2017-06-22 |
1336546076 | Aerocare Holdings, Inc. | Durable Medical Equipment & Medical Supplies | 208 Parker Ave Ste C, Durango, CO 81303 | 2014-11-24 |
1235549361 | Brooke Hastings Cheatham | Family Medicine | 1305 Escalente Drive, Unit 205, Durango, CO 81303 | 2014-04-29 |
1346596855 | Kristi Deanne Stump | Registered Nurse | 281 Sawyer Drive, Durango, CO 81303 | 2012-08-02 |
1356643696 | Jonathan Stein Mitchell | Social Worker | 466 S. Skylane Dr., Open Sky Wilderness Therapy, Durango, CO 81303 | 2010-11-18 |
1295979771 | Gregory Albert Martin | Counselor | 466 South Skylane Drive, Durango, CO 81303 | 2009-04-28 |
1700054772 | Southwest Alternative Medical, Inc. | Family Medicine | 523-a South Camino Del Rio, Durango, CO 81303 | 2008-02-13 |
1316069073 | Jeffrey Yaskin | Physical Therapist | 327 S Camino Del Rio Unit 11b, Durango, CO 81303 | 2007-04-04 |
1023170479 | Daniel J Mcclure | Chiropractor | 523 -a S Camino Del Rio, Durango, CO 81303 | 2006-12-14 |
Find all providers in zip 81303 |
Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.