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) 690-8126
Mailing address
301 SKYWAY DR, FORT COLLINS, CO 80525-3911
(970) 690-8126
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45-770131
—
CO
Enumeration date
01/23/2020
Last updated
06/24/2021
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