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General NPI Number Information
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NPI Number | 1053935213
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Entity Type | Organization
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Legal Business Name | COLORADO WEST REGIONAL MENTAL HEALTH INC.
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Dates
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Enumeration Date | 06/03/2020
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 301 W MAIN STREET
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City | FRISCO
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State | CO
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Zip | 80443-0544
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Country | US
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Telephone | 970-668-3478
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3807
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City | GRAND JUNCTION
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State | CO
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Zip | 81502-3807
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Country | US
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Telephone | 970-241-6023
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF REVENUE CYCLE
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Name | NATALIE LYNN ODUEKE
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Credential |
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Telephone | 970-683-2083
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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