| Centennial Mental Health Center, Inc. | |
|
230 W Kiowa Ave Fort Morgan CO 80701-2368 | |
| (970) 466-0639 | |
| Not Available |
| Full Name | Centennial Mental Health Center, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 230 W Kiowa Ave, Fort Morgan, Colorado |
| Authorized Official Name and Position | Sherri Davidson (FINANCE DIRECTOR) |
| Authorized Official Contact | 9705224549 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centennial Mental Health Center, Inc. 211 W Main St Sterling CO 80751-3168 Ph: (970) 522-4549 | Centennial Mental Health Center, Inc. 230 W Kiowa Ave Fort Morgan CO 80701-2368 Ph: (970) 466-0639 |
| NPI Number | 1548865090 |
|---|---|
| Provider Enumeration Date | 12/02/2020 |
| Last Update Date | 07/15/2021 |
| Certification Date | 07/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548865090 | NPI | - | NPPES |
| 04110094 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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