Healthcare Provider Details
I. General information
NPI: 1215529433
Provider Name (Legal Business Name): CEDAR POINT HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/09/2021
Last Update Date: 08/05/2024
Certification Date: 08/05/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
836 S TOWNSEND AVE STE C
MONTROSE CO
81401-4360
US
IV. Provider business mailing address
300 S NEVADA AVE
MONTROSE CO
81401-4273
US
V. Phone/Fax
- Phone: 970-249-2118
- Fax: 970-249-2187
- Phone: 970-249-7751
- Fax: 970-249-5029
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CORY
PHILLIPS
Title or Position: CEO
Credential:
Phone: 970-249-7751