PHC-FORT MORGAN INC (NPI# 1265486930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265486930 |
| Entity Type | Organization |
| Organization Name | PHC-FORT MORGAN INC |
| Other Organization Name | COLORADO PLAINS CLINIC - WIGGINS |
| Practice Address |
226 Main St Wiggins CO 80654-1368 |
| Mailing Address |
103 Powell Ct Ste. 200 Brentwood TN 37027-5079 |
| Practice Telephone | 9704837283 |
| Mailing Telephone | 6153728500 |
| Mailing Fax Number | 6153728572 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2007-08-20 |
| Authorized Official Name | WILLIAM M. GRACEY (COO) |
| Authorized Official Telephone | 6153728500 |
| Is Organization Subpart | Y |
| Parent Organization Name | PHC-FORT MORGAN INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Colorado Plains Clinic - Wiggins | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245305556 | Phc-fort Morgan Inc | Rehabilitation Unit | 1000 Lincoln St, Fort Morgan, CO 80701-3210 | 2006-11-21 |
| 1104996826 | Phc-fort Morgan Inc | Medicare Defined Swing Bed Unit | 1000 Lincoln St, Fort Morgan, CO 80701-3210 | 2006-11-09 |
| 1477638971 | Phc-fort Morgan Inc | General Acute Care Hospital | 1000 Lincoln St, Fort Morgan, CO 80701-3210 | 2006-10-25 |
| 1679660732 | Phc-fort Morgan Inc | Home Health | 1000 Lincoln St, Suite 200, Fort Morgan, CO 80701-3290 | 2006-10-09 |
| 1770537490 | Phc-fort Morgan Inc | Nuclear Medicine | 1000 Lincoln St, Fort Morgan, CO 80701-3210 | 2006-05-19 |
| Street Address |
226 MAIN ST |
| City | WIGGINS |
| State | CO |
| Zip Code | 80654-1368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376618678 | Morgan County District 50j | Local Education Agency (LEA) | 320 Chapman, Wiggins, CO 80654 | 2006-11-21 |
| 1922233907 | Clark Wayne Seele | Pharmacist | 314 Sally St, Wiggins, CO 80654-1404 | 2009-05-20 |
| 1609073774 | Dorothy's Inc. | Assisted Living Facility | 302 Sally St, Wiggins, CO 80654-1404 | 2007-07-01 |
| 1225560584 | Angella Johnson | Registered Nurse | 4832 County Road K, Wiggins, CO 80654-7815 | 2017-03-28 |
| 1770180994 | Havesh Latchman | Counselor | 110 Parkview Ct Unit C, Wiggins, CO 80654-7949 | 2020-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770180994 | Havesh Latchman | Counselor | 110 Parkview Ct Unit C, Wiggins, CO 80654-7949 | 2020-10-01 |
| 1821634502 | Kathy Renee Wilkinson | Nurse Practitioner | 990 Highway 29, Wiggins, MS 39577-8430 | 2019-11-18 |
| 1669015210 | Hometown Family Pharmacy, Inc. | Pharmacy | 930 Hall St Ste H, Wiggins, MS 39577-2113 | 2019-10-25 |
| 1831732593 | Teketra Evans | Durable Medical Equipment & Medical Supplies | 39 E Zion Rd, Wiggins, MS 39577-5000 | 2019-10-24 |
| 1699337493 | Wildflower Wellness & Counseling, Pllc | Clinic/Center | 506 Calvin Dees St, Wiggins, MS 39577-2519 | 2019-07-01 |
| 1164086716 | Charles Ray Strange IIi | Nurse Practitioner | 1130 Frontage Dr W, Wiggins, MS 39577-8165 | 2019-04-30 |
| 1518439041 | Compassionate Hearts Personal Care and Respite Services, LLC | In Home Supportive Care | 125 First St N, Wiggins, MS 39577-3342 | 2018-12-21 |
| 1881173722 | Universal Transportation Solutions, Inc. | Non-emergency Medical Transport (VAN) | 147 Lacy Evans Rd, Wiggins, MS 39577-9130 | 2018-08-10 |
| 1548774037 | Maranda L Husley | Nurse Practitioner | 87 Sellers St, Wiggins, MS 39577-8741 | 2017-11-20 |
| 1972028520 | Flint Creek Physical Therapy, LLC | Clinic/Center | 321 Flora Gene Ave W Ste D, Wiggins, MS 39577-5008 | 2017-08-04 |
| Find all providers in WIGGINS | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861650483 | Stone County Hospital, Inc. | Clinic/Center | 1434 Central Ave E, Wiggins, MS 39577-9602 | 2008-05-30 |
| 1952569576 | Stone County Hospital Inc | Clinic/Center | 1434 Central Ave E, Wiggins, MS 39577-9602 | 2008-05-30 |
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|---|---|---|---|---|
| 1023663879 | Salida Hospital District | Clinic/Center | 550 W Us Highway 50, Salida, CO 81201-2238 | 2019-08-08 |
| 1356995237 | Salida Hospital District | Clinic/Center | 405 Denver Avenue, Saguache, CO 81149 | 2019-07-29 |
| 1497279236 | Southwest Health System, Inc. | Clinic/Center | 601 Central Ave, Dolores, CO 81323 | 2017-08-02 |
| 1144777566 | Valley Citizens' Foundation for Health Care, Inc. | Clinic/Center | 1033 2nd Avenue, Monte Vista, CO 81144-1737 | 2016-09-01 |
| 1184170748 | Wallowa County Health Care District | Clinic/Center | 16351 E. 104th Place, Commerce City, CO 80022 | 2016-09-01 |
| 1457749608 | Keefe Memorial Health Service District | Clinic/Center | 102 E 2nd Avenue, Kit Carson, CO 80825 | 2014-12-22 |
| 1396143574 | Keefe Memorial Health Service District | Clinic/Center | 615 West 5th North, Cheyenne Wells, CO 80810 | 2014-12-19 |
| 1255738001 | Family Care Clinic | Clinic/Center | 102 Hays Ave, Sterling, CO 80751-2866 | 2014-11-21 |
| 1366709263 | Dolores Medical Center | Clinic/Center | 507 Central Avenue, Dolores, CO 81323 | 2012-04-16 |
| 1528381928 | Valley Citizens' Foundation for Healthcare, Inc | Clinic/Center | 802 Rio Grande Avenue, Creede, CO 81130-0755 | 2010-03-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.