| Grand River Hospital District | |
|
501 Airport Rd Rifle CO 81650-8510 | |
| (970) 625-1100 | |
| Not Available |
| Full Name | Grand River Hospital District |
|---|---|
| Speciality | Clinic/Center |
| Location | 501 Airport Rd, Rifle, Colorado |
| Authorized Official Name and Position | James Curtis Coombs (CEO) |
| Authorized Official Contact | 9706256405 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand River Hospital District 501 Airport Rd Rifle CO 81650-8510 Ph: (970) 625-1100 | Grand River Hospital District 501 Airport Rd Rifle CO 81650-8510 Ph: (970) 625-1100 |
| NPI Number | 1124074042 |
|---|---|
| Provider Enumeration Date | 05/25/2006 |
| Last Update Date | 10/30/2020 |
| Medicare PECOS PAC ID | 7113837469 |
|---|---|
| Medicare Enrollment ID | O20030529000066 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124074042 | NPI | - | NPPES |
| 05638523 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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