CENTENNIAL MENTAL HEALTH CENTER, INC. (NPI# 1952936270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952936270 |
Entity Type | Organization |
Organization Name | CENTENNIAL MENTAL HEALTH CENTER, INC. |
Practice Address |
80 E 1st Street Suite 2 Cheyenne Wells CO 80810-0000 |
Mailing Address |
211 W Main St Sterling CO 80751-3168 |
Practice Telephone | 7193468183 |
Practice Fax Number | 7193460292 |
Mailing Telephone | 9705224549 |
Mailing Fax Number | 9705229544 |
Enumeration Date | 2020-03-06 |
Last Update Date | 2020-03-06 |
Authorized Official Name | MICHELLE LYNN (CREDENTIALING MANAGE) |
Authorized Official Telephone | 9705711266 |
Authorized Official Credential | CREDENTIALING MA |
Is Organization Subpart | Y |
Parent Organization Name | CENTENNIAL MENTAL HEALTH CENTER, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
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 |
80 E 1ST STREET SUITE 2 |
City | CHEYENNE WELLS |
State | CO |
Zip Code | 80810-0000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972952281 | Steven Givan | Nurse Practitioner | 602 N 6th W, Cheyenne Wells, CO 80810 | 2016-06-07 |
1396143574 | Keefe Memorial Health Service District | Clinic/Center | 615 West 5th North, Cheyenne Wells, CO 80810 | 2014-12-19 |
1497156467 | Inspire Consulting & Counseling, PC, LLC | Community/Behavioral Health | 80 E 1st N, Ste 3, Cheyenne Wells, CO 80810 | 2014-09-10 |
1871705756 | Cheyenne County Hospital District IIi | Nursing Facility/Intermediate Care Facility | 561 W 1st N, Cheyenne Wells, CO 80810 | 2007-05-04 |
1053437046 | Percelina Mendoza | Physical Therapist | Keefe Memorial Hospital, 602 North 6th West, Cheyenne Wells, CO 80810 | 2007-03-21 |
1386706505 | County of Cheyenne | Public Health or Welfare | 560 W 6 N, Cheyenne Wells, CO 80810 | 2006-12-14 |
1962564005 | Linda Roth | Registered Nurse | 615 W 5 N, Cheyenne Wells, CO 80810 | 2006-12-14 |
1366840688 | Keefe Memorial Health Service District | General Acute Care Hospital | 602 North 6th Street West, Cheyenne Wells, CO 80810 | 2014-12-18 |
1700284007 | Keefe Memorial Health Service District | Medicare Defined Swing Bed Unit | 602 North 6th Street West, Cheyenne Wells, CO 80810 | 2014-12-18 |
1689736761 | Kelli Dawn Adamson | Registered Nurse | 615 W 5 N, Cheyenne Wells, CO 80810 | 2006-12-14 |
Find all providers in zip 80810 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184225336 | Wellcova Health Services | Clinic/Center | 90 Madison St Ste 703, Denver, CO 80206-5416 | 2020-11-04 |
1053911354 | Midwestern Colorado Mental Health Center | Clinic/Center | 214 6th St., Suite 4, Crested Butte, CO 81224 | 2020-10-27 |
1780284083 | Midwestern Colorado Mental Health Center | Clinic/Center | 238 E. Colorado Ave, Suite 9, Telluride, CO 81435 | 2020-10-27 |
1023625621 | Spanish Clinic LLC | Clinic/Center | 1400 Dayton St, Aurora, CO 80010-3233 | 2020-09-28 |
1477160083 | Spanish Clinic LLC | Clinic/Center | 12445 E 39th Ave Unit 207, Denver, CO 80239-3454 | 2020-09-28 |
1457966228 | Community Reach Center, Inc | Clinic/Center | 11275 Highline Dr, Northglenn, CO 80233-3076 | 2020-09-09 |
1437763968 | Arapahoe Mental Health Center, Inc | Clinic/Center | 9235 Crown Crest Blvd Ste 125, Parker, CO 80138-8880 | 2020-09-02 |
1528671880 | Natural Embodiment LLC | Clinic/Center | 640 Arapahoe Ave Apt 6, Boulder, CO 80302-5920 | 2020-08-26 |
1457963514 | Summitstone Health Partners | Clinic/Center | 810 E 10th St, Loveland, CO 80537-4946 | 2020-08-20 |
1558970889 | Kelley Dyer Lcsw Inc. | Clinic/Center | 4793 N Splendid Cir, Colorado Springs, CO 80917-1681 | 2020-07-22 |
Find all providers with the same taxonomy |
City | CHEYENNE WELLS |
Zip Code | 80810 |
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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.