Organization
NORTH COLORADO HEALTH ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK WALLACE MD (CEO)
(970) 350-4673
Entity
Organization
Contact information
Practice address
2930 11TH AVE, EVANS, CO 80620-1011
(970) 350-4673
(970) 350-4696
Mailing address
2930 11TH AVE, EVANS, CO 80620-1011
(970) 350-4673
(970) 350-4696
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/04/2016
Last updated
04/15/2016
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