MEDICARE: ROBERTO BACA RN

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	163W00000X	Registered Nurse	RN-120269	CO

General Provider Information

NPI Number	:	1437482841
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERTO BACA RN

Provider Business Mailing Address
First Line	:	PO BOX 49
Second Line	:	COMPLEX D RUSTLING WILLOW ST
City	:	TOWAOC
State	:	CO
Zip	:	81334-0049
Country	:	US
Telephone Number	:	970-565-4441
Fax Number	:	970-565-9163

Provider Business Practice Location Address
First Line	:	232 RUSTLING WILLOW ST COMPLEX D
Second Line	:
City	:	TOWAOC
State	:	CO
Zip	:	81334-0049
Country	:	US
Telephone Number	:	970-565-4441
Fax Number	:	970-565-9163

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2009
Last Update Date	:	09/16/2009

Similar Medicare Providers

1215993308 — DR. MATTHEW ALEXANDER CLARK M.D.
Practice Location Address:

UTE MOUNTAIN UTE HEALTH CENTER , COMPLEX B RUSTLING WILLOW STREET
TOWAOC, CO
81334-0049

Practice Phone: 970-565-4441
Practice Fax:

1417051582 — MR. EARL DAVID WARD JR. RPH
Practice Location Address:

232 RUSTLING WILLOW ST
TOWAOC, CO
81334-0049

Practice Phone: 970-565-4441
Practice Fax: 970-565-4945

1255422788 — SOUTHERN COLORADO UTE SERVICE UNIT
Practice Location Address:

232 RUSTLING WILLOW ST
TOWAOC, CO
81334-0049

Practice Phone: 970-565-4441
Practice Fax: 970-565-9110

1134313232 — INDIAN HEALTH SERVICE
Practice Location Address:

RUSTLING WILLOW , COMPLEX D
TOWAOC, CO
81334-0049

Practice Phone: 970-565-4441
Practice Fax: 970-565-3578

1205098514 — MS. HELEN C NEWMAN RN
Practice Location Address:

232 RUSTLING WILLOW ST , COMPLEX D
TOWAOC, CO
81334-0049

Practice Phone: 970-565-4441
Practice Fax:

1447572854 — MRS. NANCY LOUISE COLE RN
Practice Location Address:

232 RUSTLING WILLOW STREET , COMPLEX B
TOWAOC, CO
81334-0049

Practice Phone: 970-565-4441
Practice Fax:

Directions to “ ROBERTO BACA RN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.