Organization
COLORADO PLAINS HOME HEALTH LLC
Active
Parent organization
RYON MEDICAL & ASSOCIATES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
RYON MEDICAL & ASSOCIATES, LLC
Authorized official
MARTIN J MASAR LCSW (CEO)
(719) 336-1316
Entity
Organization
Contact information
Practice address
109 W LEE ST., #15, LAMAR, CO 81052
(719) 336-1316
(719) 336-1318
Mailing address
109 W LEE ST., #15, LAMAR, CO 81052
(719) 336-1316
(719) 336-1318
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
04M124
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
067540
MEDICARE PTAN
CO
Enumeration date
07/18/2014
Last updated
03/15/2016
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