Healthcare Provider Details

I. General information

NPI: 1316343791
Provider Name (Legal Business Name): JENIFER KAREA HECTOR REVENUE CYCLE DIRECT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENIFER KAREA HECTOR REVENUE CYCLE DIRECT

II. Dates (important events)

Enumeration Date: 11/12/2014
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 130
FRUITA CO
81521-0130
US

IV. Provider business mailing address

PO BOX 130
FRUITA CO
81521-0130
US

V. Phone/Fax

Practice location:
  • Phone: 970-858-2196
  • Fax: 970-858-2208
Mailing address:
  • Phone: 970-858-2196
  • Fax: 970-858-2208

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC2000X
TaxonomyChildren's Hospital
License Number2511OC
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: