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NPI Code Detail

MEDICARE: COLORADO MEDICAL INVESTORS, LLC

MEDICARE: COLORADO MEDICAL INVESTORS, LLC
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
1385H00000XRespite Care
2314000000XSkilled Nursing Facility0418CO

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 : 1366450090
Entity Type Code : Organization
Provider Name (Legal Business Name) : COLORADO MEDICAL INVESTORS, LLC
Provider Business Mailing Address
First Line : 3001 KEITH ST NW
Second Line :
City : CLEVELAND
State : TN
Zip : 37312-3713
Country : US
Telephone Number : 423-473-5751
Fax Number : 423-339-8342
Provider Business Practice Location Address
First Line : 905 HARDING AVE
Second Line :
City : CANON CITY
State : CO
Zip : 81212-2147
Country : US
Telephone Number : 719-275-4106
Fax Number : 719-275-2895
Authorized Official
Title or Position : ASSISTANT SECRETARY
Name : CINDY S CROSS
Credential :
Telephone Number : 423-473-5867
Provider Enumeration Date : 08/05/2006
Last Update Date : 09/15/2021

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Directions to “COLORADO MEDICAL INVESTORS, LLC ” Practice Location

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