North Range Behavioral Health | |
1306 11th Ave Greeley CO 80631-3835 | |
(970) 347-2120 | |
Not Available |
Full Name | North Range Behavioral Health |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1306 11th Ave, Greeley, Colorado |
Authorized Official Name and Position | Larry Pottorff (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 9703472373 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
North Range Behavioral Health 1300 N 17th Ave Greeley CO 80631-9584 Ph: (970) 347-2120 | North Range Behavioral Health 1306 11th Ave Greeley CO 80631-3835 Ph: (970) 347-2120 |
NPI Number | 1134454374 |
---|---|
Provider Enumeration Date | 10/06/2009 |
Last Update Date | 11/23/2020 |
Certification Date | 11/23/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134454374 | NPI | - | NPPES |
16672054 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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Jenna Rose, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 804 11th Ave, Greeley, CO 80631 Phone: 970-518-5757 | |
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