Organization
NORTHWEST COLORADO CENTER FOR INDEPENDENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IAN ENGLE (EXECUTIVE DIRECTOR)
(303) 720-9405
Entity
Organization
Contact information
Practice address
1855 SHIELD DR UNIT 300, STEAMBOAT SPRINGS, CO 80487-5247
(907) 871-4838
Mailing address
1855 SHIELD DR UNIT 300, STEAMBOAT SPRINGS, CO 80487-5247
(970) 871-4838
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000157958
—
CO
Enumeration date
03/26/2018
Last updated
07/12/2021
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