Healthcare Provider Details

I. General information

NPI: 1679565717
Provider Name (Legal Business Name): MONTROSE COUNTY NURSING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2005
Last Update Date: 01/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1845 S TOWNSEND AVE
MONTROSE CO
81401-5448
US

IV. Provider business mailing address

1845 S TOWNSEND AVE
MONTROSE CO
81401-5448
US

V. Phone/Fax

Practice location:
  • Phone: 970-252-5000
  • Fax: 970-252-5060
Mailing address:
  • Phone: 970-252-5000
  • Fax: 970-252-5060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. VIVIAN SISNEROS
Title or Position: ACCOUNTING
Credential:
Phone: 970-252-5006