Rangely Distrct Hospital
Organization Active NPI Community/Retail Pharmacy · Rangely, CO
NPI 1124359765 · NPPES record last updated Dec 10, 2021
Key facts
- NPI
- 1124359765
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 793 (CO)
- Legal business name
- RANGELY DISTRCT HOSPITAL
- Practice address
- 225 Eagle Crest Dr
Rangely, CO 81648-3105 - Phone
- (970) 675-2169
- Fax
- (970) 675-2160
- NPI assigned
- Jan 21, 2010
- Organization subpart
- No
Authorized official
- Name
- Kyle Wren
- Title
- Ceo
- Phone
- (970) 675-5011
Subparts reporting this organization as parent 1
Corporate family (same tax ID) 8
National Provider Directory
- Tax ID family
- Rangely Distrct Hospital
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 793 | CO | Yes |
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
225 Eagle Crest Dr
Rangely, CO 81648-3105
Mailing address
225 Eagle Crest Dr
Rangely, CO 81648-3105
Phone (970) 675-5011
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2123530 | Other | PK | |
| 80489061 | Medicaid | CO |
Other names
- Rangely Pharmacy
Other providers in Rangely, CO
- Joyce K Muller
- Kenneth K. Myers
- Charles Willard Novak
- Shelly Peters
- Rangely Distrct Hospital
- Rangely Family Medicine
- Rangely Hospital District
- Rangely Hospital District
- Rangely Hospital District
- Rangely Hospital District
All providers in Rangely, CO · Community/Retail Pharmacy in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.