Island Grove Regional Treatment Center

LBN: Island Grove Regional Treatment Center
Island Grove Regional Treatment Center is an health care organization with primary practice located at 212 W Mountain Avenue , Ft Collins CO 80521. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Island Grove Regional Treatment Center can be contacted via phone (970) 493-1157, or through Alexander, Kendall P via phone (970) 356-6664.

Contact Information

Primary practice address
212 W Mountain Avenue Ft Collins CO 80521
Phone: (970) 493-1157
Fax: (970) 224-9606
Website:
Map and Directions
Authorized official contact:
Name: Alexander, Kendall P MSW
Phone: (970) 356-6664

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 105104 Colorado

Profile Details

NPI number 1194903153
LBN Legal business name Island Grove Regional Treatment Center
DBA Doing business as
Authorized official Alexander, Kendall P MSW
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2008
Last updated Feb 1st, 2008 - about 16 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 1194903153 NPPES
Colorado MEDICAID 75753766

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