# ARCHER MEDICAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Archer Home Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770805467
- **Authorized official:** ROBERT J RUZICKA (ADMINISTRATOR)
- **Authorized official phone:** (719) 637-0000

## Contact information

- **Practice address:** 4925 N UNION BLVD, COLORADO SPRINGS, CO 80918-4070
- **Practice address phone:** (719) 637-0000
- **Mailing address:** 4925 N UNION BLVD, COLORADO SPRINGS, CO 80918-4070
- **Mailing address phone:** (719) 637-0000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 04L104 | CO | Yes |

## Other

- **Enumeration date:** 02/22/2010
- **Last updated:** 05/24/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 04L104 | HOME CARE AGENCY CLASS A MEDICAL LIC | CO |