# COLUMBINE MANAGEMENT SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Columbine Health Systems
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386989200
- **Authorized official:** BARRY K FANCHER (CFO/COO)
- **Authorized official phone:** (970) 482-0198

## Contact information

- **Practice address:** 802 W DRAKE RD, SUITE 101, FORT COLLINS, CO 80526-5558
- **Practice address phone:** (970) 482-0198
- **Practice address fax:** (970) 482-9148
- **Mailing address:** 802 W DRAKE RD, SUITE 101, FORT COLLINS, CO 80526-5558
- **Mailing address phone:** (970) 482-0198
- **Mailing address fax:** (970) 482-9148

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 164W00000X | Licensed Practical Nurse | — | NULL | — |
| 164W00000X | Licensed Practical Nurse | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LA2100X | Acute Care Nurse Practitioner | — | NULL | — |
| 363LA2100X | Acute Care Nurse Practitioner | — | — | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |
| 363LG0600X | Gerontology Nurse Practitioner | — | NULL | — |
| 363LG0600X | Gerontology Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 12/04/2012
- **Last updated:** 01/14/2022