Organization
FOOTHILLS GATEWAY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA CONRARDY (FINANCE DIRECTOR)
(970) 266-5444
Entity
Organization
Contact information
Practice address
301 SKYWAY DR, FORT COLLINS, CO 80525-3911
(970) 226-2345
(970) 226-2613
Mailing address
301 SKYWAY DR, FORT COLLINS, CO 80525-3911
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
171WV0202X
Vehicle Modifications Contractor
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
376J00000X
Homemaker
04K175
CO
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09-139668
—
CO
Enumeration date
04/09/2007
Last updated
01/22/2020
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