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General NPI Number Information
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NPI Number | 1033081252
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Entity Type | Organization
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Legal Business Name | CENTENNIAL MENTAL HEALTH CENTER, INC.
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Dates
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Enumeration Date | 09/18/2025
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 821 E RAILROAD AVE
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City | FORT MORGAN
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State | CO
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Zip | 80701-3365
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Country | US
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Telephone | 970-522-4549
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Fax | 970-522-9544
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Provider Business Mailing Address
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Address Line | 211 W MAIN ST
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City | STERLING
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State | CO
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Zip | 80751-3168
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Country | US
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Telephone | 970-522-4549
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Fax | 970-522-9544
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Authorized Official
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Title or Position | PROGRAM INTEGRITY ANALYST
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Name | LOIS A. ELLIOTT
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Credential |
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Telephone | 970-522-4549
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number |
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License Number State |
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