MEDICARE: ADVANTAGE TREATMENT CENTERS 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	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1462-08	OTHER	CO	OBH

General Provider Information

NPI Number	:	1922616077
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANTAGE TREATMENT CENTERS INC

Provider Business Mailing Address
First Line	:	1230 N GRAND AVE
Second Line	:
City	:	MONTROSE
State	:	CO
Zip	:	81401-3146
Country	:	US
Telephone Number	:	970-964-2783
Fax Number	:

Provider Business Practice Location Address
First Line	:	219 E RAILROAD AVE
Second Line	:
City	:	FORT MORGAN
State	:	CO
Zip	:	80701-3134
Country	:	US
Telephone Number	:	970-964-2783
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DOUG CARRIGAN
Credential	:
Telephone Number	:	970-466-5100

Provider Enumeration Date	:	07/15/2020
Last Update Date	:	08/14/2025

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