Organization
PHC-FORT MORGAN INC
Active
Other names
Colorado Plains Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR E. GIOVANETTI (PRESIDENT)
(615) 920-7000
Entity
Organization
Contact information
Practice address
1000 LINCOLN ST, SUITE 200, FORT MORGAN, CO 80701-3290
(970) 867-3013
(970) 867-5951
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-4536
(615) 920-7000
(615) 920-8913
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
642204
BCBS
CO
05
—
85530841
—
CO
Enumeration date
10/09/2006
Last updated
07/23/2015
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