Healthcare Provider Details
I. General information
NPI: 1942892468
Provider Name (Legal Business Name): HOPEWEST
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/05/2021
Last Update Date: 07/18/2024
Certification Date: 07/18/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
725 S 4TH ST
MONTROSE CO
81401-4222
US
IV. Provider business mailing address
2754 COMPASS DR STE 377
GRAND JUNCTION CO
81506-8723
US
V. Phone/Fax
- Phone: 970-240-7734
- Fax: 970-240-7263
- Phone: 970-241-2212
- Fax: 970-257-2401
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207QH0002X |
| Taxonomy | Hospice and Palliative Medicine (Family Medicine) Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RH0002X |
| Taxonomy | Hospice and Palliative Medicine (Internal Medicine) Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LG0600X |
| Taxonomy | Gerontology Nurse Practitioner |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CASSANDRA
MITCHELL
Title or Position: PRESIDENT/CEO
Credential: MSN, MBA, RN
Phone: 970-241-2212