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NPI Code Detail

MEDICARE: RACHEL L HARRINGTON PA

MEDICARE: RACHEL L HARRINGTON PA
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
1363A00000XPhysician Assistant1634CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285628925
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL L HARRINGTON PA
Provider Business Mailing Address
First Line : 2686 PATTERSON RD
Second Line : PO BOX 62
City : GRAND JUNCTION
State : CO
Zip : 81506
Country : US
Telephone Number : 970-298-6005
Fax Number : 970-298-7138
Provider Business Practice Location Address
First Line : 1100 PATTERSON RD
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81506-8219
Country : US
Telephone Number : 970-298-6005
Fax Number : 970-298-7138
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2005
Last Update Date : 01/02/2012

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Directions to “ RACHEL L HARRINGTON PA” Practice Location

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