Organization
NORTHWEST COLORADO VISTING NURSE ASSOCIATION
Active
Other names
Northwest Colorado Health
Organization subpart
No
Provider details
NPI number
Authorized official
MATT MORRILL (CFO)
(970) 871-7635
Entity
Organization
Contact information
Practice address
745 RUSSELL ST, CRAIG, CO 81625-2019
(970) 824-8233
(970) 824-2548
Mailing address
745 RUSSELL ST, CRAIG, CO 81625-2019
(970) 824-8233
(970) 824-2548
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
69909253
—
CO
Enumeration date
10/07/2008
Last updated
06/17/2022
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