Healthcare Provider Details
I. General information
NPI: 1881811107
Provider Name (Legal Business Name): RANGELY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/19/2007
Last Update Date: 04/21/2021
Certification Date: 04/21/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
225 EAGLE CREST DR.
RANGELY CO
81648-2100
US
IV. Provider business mailing address
225 EAGLE CREST DR.
RANGELY CO
81648-2100
US
V. Phone/Fax
- Phone: 970-675-5011
- Fax: 970-675-5224
- Phone: 970-675-5011
- Fax: 970-675-5224
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 275N00000X |
| Taxonomy | Medicare Defined Swing Bed Hospital Unit |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
JAMES
L
DILLON
Title or Position: CONTROLLER
Credential:
Phone: 970-675-2270