# 12TH STREET OPERATIONS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pioneer Health Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811688674
- **Authorized official:** AMBER M HOPKINS (DIRECTOR OF AR-COLORADO)
- **Authorized official phone:** (719) 661-0764

## Contact information

- **Practice address:** 900 S 12TH ST, ROCKY FORD, CO 81067-2128
- **Practice address phone:** (715) 254-3314
- **Practice address fax:** (719) 254-3499
- **Mailing address:** 26522 LA ALAMEDA STE 30026522, MISSION VIEJO, CA 92691-6330
- **Mailing address phone:** (719) 661-0764
- **Mailing address fax:** (719) 673-5728

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/15/2023
- **Last updated:** 03/02/2025