MEDICARE: ROUNDUP FELLOWSHIP 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
1	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

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

General Provider Information

NPI Number	:	1497494330
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROUNDUP FELLOWSHIP INC

Provider Business Mailing Address
First Line	:	3443 S GALENA ST STE 310
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80231-5079
Country	:	US
Telephone Number	:	303-353-8315
Fax Number	:

Provider Business Practice Location Address
First Line	:	3443 S GALENA ST STE 310
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80231-5079
Country	:	US
Telephone Number	:	303-353-8315
Fax Number	:

Authorized Official
Title or Position	:	ACCOUNTING MANAGER
Name	:	ANDREA RYBUS
Credential	:
Telephone Number	:	303-970-9094

Provider Enumeration Date	:	05/31/2022
Last Update Date	:	10/10/2025

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Directions to “ROUNDUP FELLOWSHIP INC ” Practice Location

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