NORTH RANGE BEHAVIORAL HEALTH (NPI# 1386250843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386250843 |
| Entity Type | Organization |
| Organization Name | NORTH RANGE BEHAVIORAL HEALTH |
| Practice Address |
2930 11th Ave Evans CO 80620-1011 |
| Mailing Address |
1300 N 17th Ave Greeley CO 80631-9584 |
| Practice Telephone | 9703472120 |
| Mailing Telephone | 9703472120 |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-09-21 |
| Authorized Official Name | LARRY POTTORFF (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9703472373 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | LICENSE | 1386-08 | 01 |
| CO | 9000164615 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295060598 | North Range Behavioral Health | Clinic/Center | 1260 H St, Greeley, CO 80631-9115 | 2009-10-05 |
| 1275548638 | North Range Behavioral Health | Clinic/Center | 2350 W 3rd Street Rd, Greeley, CO 80631 | 2006-07-31 |
| 1669431524 | North Range Behavioral Health | Public Health or Welfare | 1300 N 17th Ave, Greeley, CO 80631 | 2006-03-20 |
| 1629684881 | North Range Behavioral Health | Clinic/Center | 1140 M St, Greeley, CO 80631-9586 | 2020-09-22 |
| 1487260956 | North Range Behavioral Health | Clinic/Center | 1309 10th Ave, Greeley, CO 80631-3832 | 2020-09-21 |
| 1346856887 | North Range Behavioral Health | Clinic/Center | 1170 W Ash St Ste 100, Windsor, CO 80550-4783 | 2020-09-21 |
| 1215543855 | North Range Behavioral Health | Clinic/Center | 7251 W 20th St Unit C, Greeley, CO 80634-4626 | 2020-09-18 |
| 1598371494 | North Range Behavioral Health | Clinic/Center | 100 N 11th Ave, Greeley, CO 80631-2011 | 2020-09-17 |
| 1578179487 | North Range Behavioral Health | Clinic/Center | 928 12th St, Greeley, CO 80631-4024 | 2020-09-17 |
| 1467068379 | North Range Behavioral Health | Clinic/Center | 1306 11th Ave, Greeley, CO 80631-3835 | 2020-09-17 |
| Street Address |
2930 11TH AVE |
| City | EVANS |
| State | CO |
| Zip Code | 80620-1011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164424354 | Leonard Alexander Lowe Jr. | Emergency Medicine | 2930 11th Ave, Evans, CO 80620-1011 | 2005-06-01 |
| 1639780760 | Cassandra Bigley | Nurse Practitioner | 2930 11th Ave, Evans, CO 80620-1011 | 2020-08-12 |
| 1558993170 | Kelly Dineen Scott-kitzman | Nurse Practitioner | 2930 11th Ave, Evans, CO 80620-1011 | 2020-02-11 |
| 1851930663 | Sunrise Community Health | Clinic/Center | 2930 11th Ave, Evans, CO 80620-1011 | 2019-12-26 |
| 1942843743 | Emily E Wright | Physician Assistant | 2930 11th Ave, Evans, CO 80620-1011 | 2019-10-24 |
| 1053953232 | Hannah Constantin | Physician Assistant | 2930 11th Ave, Evans, CO 80620-1011 | 2019-10-09 |
| 1134695745 | Sarah Elizabeth Curzon | Physician Assistant | 2930 11th Ave, Evans, CO 80620-1011 | 2018-10-22 |
| 1881160638 | Krista Gail Jones | Physician Assistant | 2930 11th Ave, Evans, CO 80620-1011 | 2018-10-19 |
| 1376026336 | Amy Renee Brodeur | Nurse Practitioner | 2930 11th Ave, Evans, CO 80620-1011 | 2018-09-14 |
| 1194202218 | Dennise Estefania Salazar | Physician Assistant | 2930 11th Ave, Evans, CO 80620-1011 | 2018-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932734605 | Focus Point Consulting LLC | Optometrist | Sams Club Optical, 3247 23rd Ave, Evans, CO 80620 | 2020-03-03 |
| 1992040786 | Homefront Health and Occupational Medicine LLC | Preventive Medicine | 1705 32nd St., Evans, CO 80620 | 2012-12-05 |
| 1295980233 | Joshua Woodland | Optometrist | 3247 23rd Ave., (inside Sams Club), Evans, CO 80620 | 2008-11-18 |
| 1619125903 | Sam's Club Optical | Eyewear Supplier (Equipment, not the service) | 3247 23rd Avenue, Evans, CO 80620 | 2008-08-29 |
| 1699300020 | Focus Point Consulting LLC | Optometrist | Sams Club Optical, 3247 23rd St, Evans, CO 80620 | 2020-03-05 |
| 1316430812 | Niki Avery Pediatric Pt LLC | Physical Therapist | 1050 37th St, Evans, CO 80620 | 2018-06-08 |
| 1013548866 | Envision Creative Support for People With Developmental Disabilities | Respite Care | 1050 37th Street, Evans, CO 80620-0069 | 2020-01-30 |
| 1760922827 | Shanea Barickman | Home Health Aide | 3222 11th Ave, 313, Evans, CO 80620-1545 | 2017-03-08 |
| 1013429695 | Malama Ohana LLC | Home Health | 3222 11th Ave Apt 313, Evans, CO 80620-1546 | 2017-11-03 |
| 1154578961 | Sams West Inc | Durable Medical Equipment & Medical Supplies | 3247 23rd Ave, Evans, CO 80620-1733 | 2008-08-22 |
| Find all providers in zip 80620 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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| 1669084612 | Summitstone Health Partners | Clinic/Center | 1008 Patton St., Fort Collins, CO 80524 | 2020-08-20 |
| 1679183503 | Flatirons Recovery Center, LLC | Clinic/Center | 2770 Dagny Way Ste 202, Lafayette, CO 80026-8013 | 2020-08-05 |
| 1225663545 | Centennial Mental Helath Center | Clinic/Center | 80 East First, Suite 2, Cheyenne Wells, CO 80810-0000 | 2020-03-06 |
| 1114557915 | Advantage Treatment Centers Inc | Clinic/Center | 12220 Hwy 61, Sterling, CO 80751 | 2020-01-21 |
| 1841820644 | Advantage Treatment Centers Inc | Clinic/Center | 2017 Lava Ln, Alamosa, CO 81101-3578 | 2020-01-21 |
| 1316589567 | Southeast Mental Health Services | Clinic/Center | 721 Barnes Ave, La Junta, CO 81050 | 2019-10-09 |
| 1003462623 | Realize Recovery LLC | Clinic/Center | 3775 Iris Ave Ste 6, Boulder, CO 80301-2043 | 2019-08-11 |
| 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.