Organization
BAPTIST HOME ASSOCIATION OF THE ROCKY MOUNTAINS INC
Active
Other names
Mountain Vista Health Center, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH A KOTCHER (DIRECTOR OF REIMBURSEMENT)
(952) 253-1485
Entity
Organization
Contact information
Practice address
4800 TABOR ST, DENVER, CO 80033-2112
(303) 421-4161
(303) 424-6152
Mailing address
4800 TABOR ST, DENVER, CO 80033-2112
(303) 421-4161
(303) 424-6152
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05650155
—
CO
Enumeration date
10/06/2005
Last updated
12/14/2007
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