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Contact Information

VISTA GRANDE INN, INC.
680 EAST HOSPITAL DRIVE
CORTEZ, CO81321
 Phone: 970-564-1122
 Fax: 970-564-1131
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

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

NPI Profile & details for VISTA GRANDE INN, INC.

NPI Number 1962568352
LBN Legal business name VISTA GRANDE INN, INC.
Authorized official LUCIANA SINGER - (MANAGEMENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/29/2006
Last updated 09/18/2020 - About 6 years ago
Identifiers
CO Medicaid 89157231
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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