| East Morgan County Hospital | |
|
2400 Edison St Brush CO 80723-1640 | |
| (970) 842-6200 | |
| (970) 842-3572 |
| Full Name | East Morgan County Hospital |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 2400 Edison St, Brush, Colorado |
| Authorized Official Name and Position | Dennis Laraway (CFO) |
| Authorized Official Contact | 6027474000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Morgan County Hospital 2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 Ph: () - | East Morgan County Hospital 2400 Edison St Brush CO 80723-1640 Ph: (970) 842-6200 |
| NPI Number | 1699708743 |
|---|---|
| Provider Enumeration Date | 07/09/2006 |
| Last Update Date | 12/13/2021 |
| Medicare PECOS PAC ID | 3274443577 |
|---|---|
| Medicare Enrollment ID | O20040128000184 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699708743 | NPI | - | NPPES |
| 05069000 | Medicaid | CO | |
| 05652920 | Medicaid | CO | |
| 119461500 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 282NC0060X | General Acute Care Hospital - Critical Access | 0613 (Colorado) | Primary |
| Provider Name | Jay F Cook |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871576520 PECOS PAC ID: 5890688477 Enrollment ID: I20040209000330 |
| Provider Name | Ned R Nixon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053324368 PECOS PAC ID: 4688560071 Enrollment ID: I20040224000114 |
| Provider Name | Gary W Bauerle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033129267 PECOS PAC ID: 9830151216 Enrollment ID: I20041028000386 |
| Provider Name | Lila Ann Statz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649219494 PECOS PAC ID: 1557316908 Enrollment ID: I20050317000959 |
| Provider Name | Mark E Howshar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891710547 PECOS PAC ID: 9133026248 Enrollment ID: I20050411000444 |
| Provider Name | David A Chavez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578649521 PECOS PAC ID: 8426089939 Enrollment ID: I20050824000945 |
| Provider Name | Scott M Sundheim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972542181 PECOS PAC ID: 8426025511 Enrollment ID: I20060621000184 |
| Provider Name | Jasjot S. Johar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427089408 PECOS PAC ID: 7113053547 Enrollment ID: I20100324001137 |
| Provider Name | Patrick S Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285695569 PECOS PAC ID: 1456370600 Enrollment ID: I20101104000264 |
| Provider Name | Amber Shields Mccollum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255470266 PECOS PAC ID: 1658405816 Enrollment ID: I20110518000463 |
| Provider Name | Christopher Douglas Doll |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558658427 PECOS PAC ID: 7416113071 Enrollment ID: I20120725000977 |
| Provider Name | Jeremy Drechsler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780978429 PECOS PAC ID: 7911145024 Enrollment ID: I20130531000430 |
| Provider Name | Timothy A Moore |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407293699 PECOS PAC ID: 1153565320 Enrollment ID: I20130910000712 |
| Provider Name | Adriana S Ardeljan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942439443 PECOS PAC ID: 0840432977 Enrollment ID: I20150513001204 |
| Provider Name | Danielle Suzanne Mcdonald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932461506 PECOS PAC ID: 8729239264 Enrollment ID: I20150912000016 |
| Provider Name | Eric W Schmieg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376520734 PECOS PAC ID: 2668377003 Enrollment ID: I20160303001452 |
| Provider Name | Sai Karteek Medi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164771655 PECOS PAC ID: 5395033997 Enrollment ID: I20161014000707 |
| Provider Name | Terry R Groff |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144295866 PECOS PAC ID: 4688769284 Enrollment ID: I20161105000174 |
| Provider Name | Sandra J Boone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346781846 PECOS PAC ID: 6507137593 Enrollment ID: I20170809003272 |
| Provider Name | Ryan S Reiss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548798176 PECOS PAC ID: 5395017834 Enrollment ID: I20170818000811 |
| Provider Name | Kent Kevin Kosmatka |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891771770 PECOS PAC ID: 7012902992 Enrollment ID: I20171005003208 |
| Provider Name | Samantha M Poupore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184150864 PECOS PAC ID: 1951669282 Enrollment ID: I20190820001594 |
| Provider Name | Valerie Eckhard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649206244 PECOS PAC ID: 3577513928 Enrollment ID: I20200409002607 |
| Provider Name | Garrett N Urban |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699208066 PECOS PAC ID: 9739459983 Enrollment ID: I20200730002324 |
| Provider Name | Paul Pelletier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902368947 PECOS PAC ID: 1850770330 Enrollment ID: I20220614002785 |
| Provider Name | Anais Christina Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073073060 PECOS PAC ID: 2668702473 Enrollment ID: I20220811003846 |
| Provider Name | Amanda Marie Drew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174236939 PECOS PAC ID: 1052786142 Enrollment ID: I20230403000959 |
| Provider Name | Evan Gerber |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700413234 PECOS PAC ID: 4587022306 Enrollment ID: I20230626002693 |
| Provider Name | Brigit Noon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194353912 PECOS PAC ID: 4385003854 Enrollment ID: I20230630000583 |
| Provider Name | Shannon Mary Shaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194348862 PECOS PAC ID: 3678994498 Enrollment ID: I20230920002920 |
Lynn R. Dilley, D.o., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1224 Edison St, Suite A, Brush, CO 80723 Phone: 970-842-5010 Fax: 970-842-4120 | |
Banner Health Physicians Colorado Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2400 Edison St, Brush, CO 80723 Phone: 970-842-6262 | |
East Morgan County Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2400 Edison St Ste 101, Brush, CO 80723 Phone: 970-842-6262 Fax: 970-842-6241 | |
Rural Physicians Group - Pannu Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2400 Edison St, Brush, CO 80723 Phone: 303-390-1924 | |
Centura Brush Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1224 Edison St Ste A, Brush, CO 80723 Phone: 999-999-9999 | |
Banner Hospital Based Physicians Colorado Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2400 Edison St, Brush, CO 80723 Phone: 970-842-6200 Fax: 970-842-6290 | |
Emch Specialists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2400 Edison St, Brush, CO 80723 Phone: 970-842-6200 |