MEDICARE: SUMMITWEST CARE

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
1	251E00000X	Home Health Agency	COLO DOESN'T LICENSE	CO

Other Identifiers

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

General Provider Information

NPI Number	:	1326047614
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUMMITWEST CARE

Provider Business Mailing Address
First Line	:	2800 PRINTERS WAY STE 200
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81506-3944
Country	:	US
Telephone Number	:	970-263-0202
Fax Number	:	970-243-6855

Provider Business Practice Location Address
First Line	:	2800 PRINTERS WAY STE 200
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81506-3944
Country	:	US
Telephone Number	:	970-263-0202
Fax Number	:	970-243-6855

Authorized Official
Title or Position	:	CEO
Name	:	CHARLEEN RAAUM
Credential	:
Telephone Number	:	970-263-0202

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	06/04/2021

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Directions to “SUMMITWEST CARE ” Practice Location

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