CENTENNIAL MENTAL HEALTH CENTER, INC. (NPI# 1932628419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932628419 |
| Entity Type | Organization |
| Organization Name | CENTENNIAL MENTAL HEALTH CENTER, INC. |
| Practice Address |
365 W 2nd St Wray CO 80758-1009 |
| Mailing Address |
211 W Main St Sterling CO 80751-3168 |
| Practice Telephone | 9703323133 |
| Practice Fax Number | 9703323134 |
| 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 |
1145-09 | 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 |
| 1851810337 | Centennial Mental Health Center, Inc. | Clinic/Center | 115 N Campbell Ave, Holyoke, CO 80734-1003 | 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 |
365 W 2ND ST |
| City | WRAY |
| State | CO |
| Zip Code | 80758-1009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528208428 | Centennial Mental Health Center | Community/Behavioral Health | 365 W 2nd St, Wray, CO 80758-1009 | 2009-03-05 |
| 1447739917 | Diana Malave | Social Worker | 365 W 2nd St, Wray, CO 80758-1009 | 2018-08-07 |
| 1225526932 | Jesse Cushen | Behavior Technician | 365 W 2nd St, Wray, CO 80758-1009 | 2018-04-27 |
| 1326550450 | Nathon Reinick | Counselor | 365 W 2nd St, Wray, CO 80758-1009 | 2017-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356998413 | Lisa Mae Arkulari | Technician | 537 Ellis Dr., Wray, CO 80758 | 2019-08-23 |
| 1649646134 | Leeann Schroeder | Counselor | 365 W. 2nd, Wray, CO 80758 | 2015-08-19 |
| 1720476369 | Karen Allison | Occupational Therapist | 320 Canyon Ridge Drive, Wray, CO 80758 | 2015-01-06 |
| 1881834521 | Renee Ruhlman | Counselor | 340 Sourth Birch Street, Wray, CO 80758 | 2009-02-20 |
| 1831375336 | Cedardale Health Care Centre, Inc. | Skilled Nursing Facility | 720 Clay Street, Wray, CO 80758 | 2008-01-14 |
| 1093831356 | Mark Mcdonald P.t., P.C. | Physical Therapist | 7th and Main, Wray, CO 80758 | 2007-03-21 |
| 1801986328 | Michael Lawler | Occupational Therapist | 7th Main, Wrac, Wray, CO 80758 | 2006-10-13 |
| 1912486820 | Wray Community District Hospital | Physical Therapist | 700 Main St, Wray, CO 80758 | 2018-08-10 |
| 1518234970 | Melvin Dustin Dunn | Chiropractor | 363 W 2nd St, Wray, CO 80758-1009 | 2011-11-29 |
| 1942311808 | Apria Healthcare Inc | Durable Medical Equipment & Medical Supplies | 305 W 2nd St, Suite #2, Wray, CO 80758-1009 | 2006-08-31 |
| Find all providers in zip 80758 | ||||
| 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.