PHC-Fort Morgan Inc

Primary specialty

Rural Acute Care HospitalTaxonomy code 282NR1301X

License

0112 Issued in CO

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

Oct 25, 2006

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 identifiers 4

Other names 1

• Colorado Plains Medical Center Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650585600000",
    "number": "1477638971",
    "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": "2006-10-25",
        "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": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "CO",
            "license": "0112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025378000",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1765503",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "347907",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64953238",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "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"
        }
    ]
}

• Jonathon Perez
• Dawn Peters
• PHC Fort Morgan Inc
• PHC-Fort Morgan Inc
• PHC-Fort Morgan Inc
• PHC-Fort Morgan Inc
• PHC-Fort Morgan Inc
• PHC-Fort Morgan, Inc.
• Dorothy Ann Phillips, M.A.,CCC-SLP
• Platte Valley Hearing Center, Inc.

• Rural Acute Care Hospital in Fort Morgan, CO
• Providers in Fort Morgan, CO by specialty
• Rural Acute Care Hospital 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.