Chinook Ltc

LBN: Chinook Healthcare In
Chinook Ltc is an health care organization with primary practice located at 275 Waneka Pkwy Ste 10 , Lafayette CO 80026-8857. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Chinook Healthcare In can be contacted via phone (720) 458-4887, or through Hodge, Tyson via phone (720) 458-4887.

Contact Information

Primary practice address
275 Waneka Pkwy Ste 10 Lafayette CO 80026-8857
Phone: (720) 458-4887
Fax: (720) 890-6144
Website:
Map and Directions
Authorized official contact:
Name: Hodge, Tyson
Phone: (720) 458-4887

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X
Suppliers / Long Term Care Pharmacy 3336L0003X 1680000058 Colorado

Profile Details

NPI number 1134618879
LBN Legal business name Chinook Healthcare In
DBA Doing business as Chinook Ltc
Authorized official Hodge, Tyson
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2018
Last updated May 8th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134618879 NPPES
Other 2177389 PK
MEDICAID 54930022 PK

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