Eastern Colorado Services For The Developomentally Disabled, Inc.

LBN: Eastern Colorado Services For The Developomentally Disabled, Inc.
Eastern Colorado Services For The Developomentally Disabled, Inc. is an health care organization with primary practice located at 425 Gayle St , Fort Morgan CO 80701-3920. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Eastern Colorado Services For The Developomentally Disabled, Inc. can be contacted via phone (970) 522-7121, or through Schrade, Traci via phone (970) 522-7121.

Contact Information

Primary practice address
425 Gayle St Fort Morgan CO 80701-3920
Phone: (970) 522-7121
Fax: (870) 522-1173
Website:
Map and Directions
Authorized official contact:
Name: Schrade, Traci
Phone: (970) 522-7121

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X 05O101 Colorado

Profile Details

NPI number 1386186526
LBN Legal business name Eastern Colorado Services For The Developomentally Disabled, Inc.
DBA Doing business as
Authorized official Schrade, Traci
Entity Organization
Organization subpart 1 No
Enumeration date Nov 4th, 2016
Last updated Dec 2nd, 2021 - about 3 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 1386186526 NPPES
Colorado MEDICAID 09145855
Colorado MEDICAID 26608
Colorado MEDICAID 09141888

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