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Organization

SUMMITWEST CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLEEN RAAUM (CEO)
(970) 263-0202
Entity
Organization

Contact information

Practice address
2800 PRINTERS WAY STE 200, GRAND JUNCTION, CO 81506-3944
(970) 263-0202
(970) 243-6855
Mailing address
2800 PRINTERS WAY STE 200, GRAND JUNCTION, CO 81506-3944
(970) 263-0202
(970) 243-6855

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
COLO DOESN'T LICENSE
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
37757539
CO
05
38659701
CO
05
64907856
CO
Enumeration date
07/19/2005
Last updated
06/04/2021
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