DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: EAGLE RIDGE OPERATING COMPANY, LLC

MEDICARE: EAGLE RIDGE OPERATING COMPANY, LLC
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
1314000000XSkilled Nursing Facility021116CO

General Provider Information

NPI Number : 1417328857
Entity Type Code : Organization
Provider Name (Legal Business Name) : EAGLE RIDGE OPERATING COMPANY, LLC
Provider Business Mailing Address
First Line : 2425 TELLER AVE
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81501-5141
Country : US
Telephone Number : 970-243-3381
Fax Number : 970-243-3416
Provider Business Practice Location Address
First Line : 2425 TELLER AVE
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81501-5141
Country : US
Telephone Number : 970-243-3381
Fax Number : 970-243-3416
Authorized Official
Title or Position : DIRECTOR OF REIMBURSEMENT
Name : MARY KORETKE
Credential :
Telephone Number : 720-974-6278
Provider Enumeration Date : 10/12/2015
Last Update Date : 08/01/2022

Similar Medicare Providers

1235092834 — EAGLE RIDGE HEALTHCARE LLC
Practice Location Address:
2425 TELLER AVE
GRAND JUNCTION, CO
81501-5141
Practice Phone: 970-243-3381
Practice Fax:
1942391875 — EAGLE RIDGE OPERATING COMPANY, LLC
Practice Location Address:
2425 TELLER AVE
GRAND JUNCTION, CO
81501-5141
Practice Phone: 970-243-3381
Practice Fax: 970-243-3416
1063857720 — MRS. KIMBERLY DAWN MEURET COTA
Practice Location Address:
2425 TELLER AVE
GRAND JUNCTION, CO
81501-5141
Practice Phone: 970-243-3381
Practice Fax: 970-549-4697
1447982145 — MEGAN MCCARTHY LPN
Practice Location Address:
2425 TELLER AVE
GRAND JUNCTION, CO
81501-5141
Practice Phone: 970-243-3381
Practice Fax:
1760195648 — EAGLE RIDGE HEALTHCARE LLC
Practice Location Address:
2425 TELLER AVE
GRAND JUNCTION, CO
81501-5141
Practice Phone: 970-243-3381
Practice Fax:
1114964665 — ALBERTSONS LLC
Practice Location Address:
3112 E GRAND AVE
LARAMIE, WY
82070-5141
Practice Phone: 307-745-7246
Practice Fax: 307-742-7392

Directions to “EAGLE RIDGE OPERATING COMPANY, LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.