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Contact Information

HOLLY NURSING CARE CENTER, INC
320 N 8TH ST
HOLLY, CO81047
 Phone: 719-537-6555
 Fax: 719-537-6366
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for HOLLY NURSING CARE CENTER, INC

NPI # 1669845129
LBN Legal business name HOLLY NURSING CARE CENTER, INC
Authorized official MARY KORETKE - (DIRECTOR OF REIMBURSEMENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/05/2015
Last updated 11/05/2015 - About 11 years ago
Identifiers
CO License # 020237
CO Medicaid 05655147
CO Medicaid 4138426
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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