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NPI Code Detail

MEDICARE: PHC-FORT MORGAN INC

MEDICARE: PHC-FORT MORGAN INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1275N00000XMedicare Defined Swing Bed Hospital Unit

General Provider Information

NPI Number : 1104996826
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHC-FORT MORGAN INC
Provider Business Mailing Address
First Line : 330 SEVEN SPRINGS WAY
Second Line :
City : BRENTWOOD
State : TN
Zip : 37027-5098
Country : US
Telephone Number : 615-920-7000
Fax Number : 615-920-8913
Provider Business Practice Location Address
First Line : 1000 LINCOLN ST
Second Line :
City : FORT MORGAN
State : CO
Zip : 80701-3210
Country : US
Telephone Number : 970-867-3391
Fax Number : 970-542-3306
Authorized Official
Title or Position : ASSISTANT SECRETARY
Name : TERRANCE DILLON
Credential :
Telephone Number : 502-596-7220
Provider Enumeration Date : 11/09/2006
Last Update Date : 04/22/2022

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Directions to “PHC-FORT MORGAN INC ” Practice Location

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