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Contact Information

CEDARDALE HEALTH CARE CENTRE, INC.
720 CLAY STREET
WRAY, CO80758
 Phone: 970-332-5375
 Fax: 970-332-4383
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

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

NPI Profile & details for CEDARDALE HEALTH CARE CENTRE, INC.

NPI Number 1831375336
LBN Legal business name CEDARDALE HEALTH CARE CENTRE, INC.
Authorized official CLAIR MORRISON - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/14/2008
Last updated 01/31/2008 - About 18 years ago
Identifiers
CO Medicaid 05652185
CO Other 04139630 MEDICAID RESPITE
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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