NPIMap

Organization Active NPI

North Range Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fort Lupton, CO
National Provider Identifier
1346575586
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
NORTH RANGE BEHAVIORAL HEALTH
Practice address
145 1St St
Fort Lupton, CO 80621-2002
Phone
(303) 857-6365
NPI assigned
Oct 6, 2009
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Larry Pottorff
Title
Executive Director
Phone
(970) 347-2373

Corporate family (same tax ID) 37

Organizations that report the same tax identification number in the National Provider Directory.

View all 37

National Provider Directory

National Provider Directory
Tax ID family
North Range Behavioral Health (38 organizations share this tax ID)

Locations

145 1st St
Fort Lupton, CO 80621
Phone (303) 857-2723

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

NPPES NPI Registry

Primary practice location

145 1St St
Fort Lupton, CO 80621-2002

Mailing address

1300 N 17TH Ave
Greely, CO 80631-9584
Phone (970) 347-2120

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
12837377MedicaidCO

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 23, 2020.

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606089600000",
    "number": "1346575586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N 17TH AVE",
            "city": "GREELY",
            "state": "CO",
            "postal_code": "806319584",
            "telephone_number": "970-347-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 1ST ST",
            "city": "FORT LUPTON",
            "state": "CO",
            "postal_code": "806212002",
            "telephone_number": "303-857-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH RANGE BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-06",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A",
        "authorized_official_last_name": "POTTORFF",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "970-347-2373"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12837377",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lupton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.