Organization Active NPI

Grand River Hospital District

Doing business as Grand River Health Diabetes Prevention Program

  • Health Educator
  • Rifle, CO
National Provider Identifier
1194365544
Registry record updated Jan 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
GRAND RIVER HOSPITAL DISTRICT
Doing business as
Grand River Health Diabetes Prevention Program
Practice address
501 Airport Rd
Rifle, CO 81650-8510
Phone
(970) 625-6200
Fax
(970) 625-6203
NPI assigned
Jan 14, 2020
Last updated
Jan 14, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
GRAND RIVER HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 14, 2020

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

Authorized official

Name
Christina N Bolin
Title
Cfo
Phone
(970) 625-6462

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X NU Primary

Addresses

Primary practice location

501 Airport Rd
Rifle, CO 81650-8510

Mailing address

501 Airport Rd
Rifle, CO 81650-8510

Other names 1

  • Grand River Health Diabetes Prevention Program Doing business as

National Provider Directory

National Provider Directory
Part of
Grand River Hosp District

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

73 Sipprelle Dr
Ste K
Parachute, CO 81635
Phone (970) 285-5731

501 Airport Rd
Fl 2
Rifle, CO 81650
Phone (970) 625-1100

701 E 5th St
Rifle, CO 81650
Phone (970) 625-1510

800 Airport Rd
Ste 10
Rifle, CO 81650
Phone (970) 625-1510

800 Airport Rd
Ste 9
Rifle, CO 81650
Phone (970) 625-1510

Practitioners & affiliated clinicians

Practitioners 112

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.

View all 112

NPI Registry JSON

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578960000000",
    "number": "1194365544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 AIRPORT RD",
            "city": "RIFLE",
            "state": "CO",
            "postal_code": "816508510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 AIRPORT RD",
            "city": "RIFLE",
            "state": "CO",
            "postal_code": "816508510",
            "telephone_number": "970-625-6200",
            "fax_number": "970-625-6203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND RIVER HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRAND RIVER HOSPITAL DISTRICT",
        "enumeration_date": "2020-01-14",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A",
        "authorized_official_last_name": "BOLIN",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "970-625-6462"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand River Health Diabetes Prevention Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rifle, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; 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.