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NPI Code Detail

MEDICARE: NORTH COLORADO MEDICAL CENTER

MEDICARE: NORTH COLORADO MEDICAL CENTER
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
1261QS1200XSleep Disorder Diagnostic Clinic/Center
2261QI0500XInfusion Therapy Clinic/Center
3208100000XPhysical Medicine & Rehabilitation Physician
4261QX0200XOncology Clinic/Center
5282N00000XGeneral Acute Care Hospital0180CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1720004450
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTH COLORADO MEDICAL CENTER
Provider Business Mailing Address
First Line : 2901 N CENTRAL AVE STE 160
Second Line :
City : PHOENIX
State : AZ
Zip : 85012-2702
Country : US
Telephone Number : 602-747-4000
Fax Number :
Provider Business Practice Location Address
First Line : 1801 16TH ST
Second Line :
City : GREELEY
State : CO
Zip : 80631-5154
Country : US
Telephone Number : 970-352-4121
Fax Number :
Authorized Official
Title or Position : CEO
Name : ALLAN QUALLS
Credential :
Telephone Number : 970-810-4121
Provider Enumeration Date : 07/14/2006
Last Update Date : 04/17/2026

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Directions to “NORTH COLORADO MEDICAL CENTER ” Practice Location

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