CENTENNIAL MENTAL HEALTH CENTER, INC. (NPI# 1851810337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851810337 |
| Entity Type | Organization |
| Organization Name | CENTENNIAL MENTAL HEALTH CENTER, INC. |
| Practice Address |
115 N Campbell Ave Holyoke CO 80734-1003 |
| Mailing Address |
211 W Main St Sterling CO 80751-3168 |
| Practice Telephone | 9708542114 |
| Practice Fax Number | 9708544584 |
| Mailing Telephone | 9705224549 |
| Mailing Fax Number | 9705226898 |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2017-09-15 |
| Authorized Official Name | ELIZABETH L HICKMAN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9705224549 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTENNIAL MENTAL HEALTH CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
1145-06 | CO | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952936270 | Centennial Mental Health Center, Inc. | Clinic/Center | 80 E 1st Street, Suite 2, Cheyenne Wells, CO 80810-0000 | 2020-03-06 |
| 1235658709 | Centennial Mental Health Center, Inc. | Clinic/Center | 871 E 1st St, Akron, CO 80720-1705 | 2017-09-15 |
| 1780103259 | Centennial Mental Health Center, Inc. | Clinic/Center | 1291 Circle Dr, Burlington, CO 80807-1245 | 2017-09-15 |
| 1932628419 | Centennial Mental Health Center, Inc. | Clinic/Center | 365 W 2nd St, Wray, CO 80758-1009 | 2017-09-15 |
| 1609395177 | Centennial Mental Health Center, Inc. | Clinic/Center | 211 W Main St, Sterling, CO 80751-3168 | 2017-09-15 |
| 1588183065 | Centennial Mental Health Center, Inc. | Clinic/Center | 118 W 3rd St, Julesburg, CO 80737-1542 | 2017-09-15 |
| 1578082053 | Centennial Mental Health Center, Inc. | Clinic/Center | 215 S Ash St, Yuma, CO 80759-1903 | 2017-09-15 |
| 1215456793 | Centennial Mental Health Center, Inc. | Clinic/Center | 821 E Railroad Ave, Fort Morgan, CO 80701-3365 | 2017-09-15 |
| 1376062976 | Centennial Mental Health Center, Inc. | Clinic/Center | 650 E. Walnut, Unit C, Elizabeth, CO 80107 | 2017-09-14 |
| 1922527548 | Centennial Mental Health Center, Inc. | Clinic/Center | 606 Main Street, Limon, CO 80828 | 2017-09-14 |
| Street Address |
115 N CAMPBELL AVE |
| City | HOLYOKE |
| State | CO |
| Zip Code | 80734-1003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891935797 | Centennial Mental Health Center | Community/Behavioral Health | 115 N Campbell Ave, Holyoke, CO 80734-1003 | 2009-03-05 |
| 1093113938 | Sharon Murray | Social Worker | 115 N Campbell Ave, Holyoke, CO 80734-1003 | 2014-12-09 |
| 1629484795 | Dorothy Drake | Social Worker | 115 N Campbell Ave, Holyoke, CO 80734-1003 | 2014-07-09 |
| 1932538725 | Ronnie Bahler | Social Worker | 115 N Campbell Ave, Holyoke, CO 80734-1003 | 2013-11-02 |
| 1942565296 | Jose Leon | Counselor | 115 N Campbell Ave, Holyoke, CO 80734-1003 | 2012-07-11 |
| 1831328087 | Edward Barry Winckler | Counselor | 115 N Campbell Ave, Holyoke, CO 80734-1003 | 2009-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992053706 | Sandra Mendoza Rafols | Physical Therapy Assistant | 618 S. Interocean Ave., Holyoke, CO 80734 | 2012-08-28 |
| 1952574105 | Pamida Stores Operating Co., LLC | Durable Medical Equipment & Medical Supplies | 118 South Interocean Ave, Holyoke, CO 80734 | 2008-04-09 |
| 1861806929 | Daniela Monique De Vargas Boyer | Family Medicine | 1001 E Johnson St, Melissa Memorial Hospital, Holyoke, CO 80734 | 2014-06-17 |
| 1194077560 | J&j Pharms. LLC. | Pharmacy | 112 E Carnahan St, Holyoke, CO 80734-1007 | 2012-10-10 |
| 1649523234 | Bd2 Inc | Pharmacy | 112 E Carnahan St, Holyoke, CO 80734-1007 | 2012-10-19 |
| 1760793244 | Aaron Lindley Wilson | Family Medicine | 645 S Sheridan Ave, Holyoke, CO 80734-1233 | 2010-06-29 |
| 1063501732 | Ogallala Eyecare,p.c. | Optometrist | 111 W Emerson St, Holyoke, CO 80734-1431 | 2006-10-12 |
| 1386705978 | East Phillips County Hospital District | Physical Therapist | 1001 E. Johnson Street, Holyoke, CO 80734-1500 | 2006-12-13 |
| 1790838373 | David P. Nygaard | Chiropractor | 102 S Campbell Ave, Holyoke, CO 80734-1502 | 2007-01-18 |
| 1952593733 | Rhonda Osborne | Counselor | 127 E Denver St Ste E, Holyoke, CO 80734-1513 | 2007-08-15 |
| Find all providers in zip 80734 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952901258 | Midwestern Colorado Mental Health Center | Clinic/Center | 238 E. Colorado Ave., Suite 9, Telluride, CO 81435 | 2020-10-27 |
| 1356956288 | Community Reach Center, Inc | Clinic/Center | 2551 W 84th Ave Ste 2, Westminster, CO 80031-3807 | 2020-09-08 |
| 1053926980 | Community Reach Center, Inc | Clinic/Center | 100 Spader Way Ste 267, Broomfield, CO 80020-2441 | 2020-09-08 |
| 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.