Organization
HOSPICE OF MONTEZUMA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL A BAUMGARTNER (EXECUTIVE DIRECTOR)
(970) 565-4400
Entity
Organization
Contact information
Practice address
512 N BROADWAY, CORTEZ, CO 81321-2002
(970) 565-4400
(970) 565-9543
Mailing address
PO BOX 740, CORTEZ, CO 81321-0740
(970) 565-4400
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
2003-HOSPCIE-940
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022064
—
CO
05
—
126214
—
CO
Enumeration date
05/05/2006
Last updated
07/20/2021
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