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Contact Information

CENTENNIAL MENTAL HEALTH CENTER
650 EAST WALNUT, UNIT C
ELIZABETH, CO80107
 Phone: 970-522-4549
 Fax: 970-522-6898
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for CENTENNIAL MENTAL HEALTH CENTER

NPI # 1427298868
LBN Legal business name CENTENNIAL MENTAL HEALTH CENTER
Authorized official ELIZABETH HICKMAN - (EXECUTIVE DIRTECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/25/2009
Last updated 07/15/2021 - About 5 years ago
Identifiers
CO License # 15K991
CO Medicaid 04110094
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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