| Organization Name: | WESTERN HEALTHCARE NETWORK |
| NPI Number: | 1417284050 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHARLES SISSON (MEDICAL DIRECTOR) |
| Mailing Address: | 2809 E Harmony Rd Suite #100 Fort Collins |
| State: | CO US |
| Postal Code: | 805283109 |
| Phone Number: | 3033397192 |
| Fax Number: | 9704169676 |
| NPI Enumeration Date: | 11/03/2009 |
| NPI Last Update Date: | 11/03/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |