Facts
- Status
- A
- Type
- Organization
- Enumeration date
- 2005-06-21
- Last updated
- 2020-08-22
Specialties
Licenses
- License CO
- 0227
Location
- Practice location
- 122 HOSPITAL RD
- City
- BRUSH CO
- Postal code
- 807231702
- Phone
- 970-842-2861
Organization contact
- Name
- BARBARA BRADSHAW
- Title
- Chief Executive Officer
- Phone
- 9708422861
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.