PHC-Fort Morgan Inc

Primary specialty

Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X

Legal business name

PHC-FORT MORGAN INC

Doing business as

Colorado Plains Medical Center

Practice address

1000 Lincoln St
Fort Morgan, CO 80701-3210

Phone

(970) 867-3391

Fax

(970) 542-3306

NPI assigned

Nov 9, 2006

Last updated

Apr 22, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Terrance Dillon

Title

Assistant Secretary

Phone

(502) 596-7220

Specialties & licenses 1

Addresses

Other names 1

• Colorado Plains Medical Center Doing business as

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tawana Nichole Nix, D.O.

  • Family Medicine Physician
  • Fall River Mills, CA
  • NPI 1649324294
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650585600000",
    "number": "1104996826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SEVEN SPRINGS WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275098",
            "telephone_number": "615-920-7000",
            "fax_number": "615-920-8913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 LINCOLN ST",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "807013210",
            "telephone_number": "970-867-3391",
            "fax_number": "970-542-3306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHC-FORT MORGAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A",
        "authorized_official_last_name": "DILLON",
        "authorized_official_first_name": "TERRANCE",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "502-596-7220"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "coloradoplains@yourcarecommunity.org",
            "affiliation": "N",
            "address_1": "1000 Lincoln St",
            "city": "Fort Morgan",
            "state": "CO",
            "country_code": "US",
            "postal_code": "807013210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Colorado Plains Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Colorado Plains Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brooke Penn, OD
• Juan Perez-Alonzo
• Jonathon Perez
• Dawn Peters
• PHC Fort Morgan Inc (Colorado Plains Medical Center)
• PHC-Fort Morgan Inc (Colorado Plains Medical Center)
• PHC-Fort Morgan Inc (Colorado Plains Medical Center)
• PHC-Fort Morgan Inc (Colorado Plains Medical Center)
• PHC-Fort Morgan Inc
• PHC-Fort Morgan, Inc. (Colorado Plains Medical Center)

• Medicare Defined Swing Bed Hospital Unit in Fort Morgan, CO
• Providers in Fort Morgan, CO by specialty
• Medicare Defined Swing Bed Hospital Unit in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.