Organization Name: | NORTHWEST CO VISITING NURSE ASS |
NPI Number: | 1023277563 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LINDA PINNT (BILLING MANAGER) |
Mailing Address: | 745 Russell St Craig |
State: | CO US |
Postal Code: | 816252019 |
Phone Number: | 9708248233 |
Fax Number: | 9708242548 |
NPI Enumeration Date: | 06/09/2008 |
NPI Last Update Date: | 06/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |