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NPI Code Detail

MEDICARE: NORTH COLORADO MEDICAL CENTER

MEDICARE: NORTH COLORADO MEDICAL CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM1300XMulti-Specialty Clinic/Center
2282NC0060XCritical Access Hospital

General Provider Information

NPI Number : 1255971404
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTH COLORADO MEDICAL CENTER
Provider Business Mailing Address
First Line : 2901 N CENTRAL AVE STE 160
Second Line :
City : PHOENIX
State : AZ
Zip : 85012-2702
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1517 16TH AVE CT 2ND FLOOR
Second Line :
City : GREELEY
State : CO
Zip : 80631-4574
Country : US
Telephone Number : 970-810-6900
Fax Number :
Authorized Official
Title or Position : CEO
Name : ALAN QUALLS
Credential :
Telephone Number : 602-747-4000
Provider Enumeration Date : 01/15/2020
Last Update Date : 04/15/2026

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Directions to “NORTH COLORADO MEDICAL CENTER ” Practice Location

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