Healthcare Provider Details

I. General information

NPI: 1801771076
Provider Name (Legal Business Name): EASTERN RIO BLANCO COUNTY HEALTH SERVICE DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2025
Last Update Date: 08/07/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 EAGLE CREST DR
RANGELY CO
81648-3105
US

IV. Provider business mailing address

100 PIONEERS MEDICAL CENTER DR
MEEKER CO
81641-3181
US

V. Phone/Fax

Practice location:
  • Phone: 970-693-6070
  • Fax:
Mailing address:
  • Phone: 970-878-9273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: TAYLOR JENS
Title or Position: REVENUE CYCLE DIRECTOR
Credential:
Phone: 970-878-9273