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NPI Code Detail

MEDICARE: HOLYOKE HEALTH & REHAB, INC

MEDICARE: HOLYOKE HEALTH & REHAB, 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
1314000000XSkilled Nursing Facility

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 : 1881682219
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOLYOKE HEALTH & REHAB, INC
Provider Business Mailing Address
First Line : 816 S INTEROCEAN AVE
Second Line :
City : HOLYOKE
State : CO
Zip : 80734-2120
Country : US
Telephone Number : 970-854-2251
Fax Number : 970-854-2610
Provider Business Practice Location Address
First Line : 816 S INTEROCEAN AVE
Second Line :
City : HOLYOKE
State : CO
Zip : 80734-2120
Country : US
Telephone Number : 970-854-2251
Fax Number : 970-854-2610
Authorized Official
Title or Position : CEO
Name : GARY R TREBERT
Credential :
Telephone Number : 817-359-2000
Provider Enumeration Date : 10/10/2005
Last Update Date : 08/22/2020

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Directions to “HOLYOKE HEALTH & REHAB, INC ” Practice Location

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