Organization
REMOTE HEALTH ACCESS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK LUDWIN (PRESIDENT)
(970) 286-0301
Entity
Organization
Contact information
Practice address
4645 ZIEGLER RD, SUITE 101, FORT COLLINS, CO 80528-9600
(970) 286-0301
Mailing address
4645 ZIEGLER RD, SUITE 101, FORT COLLINS, CO 80528-9600
(970) 286-0301
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
207Q00000X
Family Medicine Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
70859809
—
CO
01
—
DU2062
RR MEDICARE
CO
Enumeration date
05/31/2013
Last updated
09/19/2014
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