PHC-Fort Morgan Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PHC-FORT MORGAN INC

Doing business as

Colorado Plains Medical Center

Practice address

1000 Lincoln St
Suite 200
Fort Morgan, CO 80701-3290

Phone

(970) 867-3013

Fax

(970) 867-5951

NPI assigned

Oct 9, 2006

Organization subpart

No

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

Authorized official

Name

Victor E. Giovanetti

Title

President

Phone

(615) 920-7000

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Colorado Plains Medical Center Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Colorado in-Home Partner-I, LLC

  • Home Health Agency
  • Fort Morgan, CO
  • NPI 1417494360

  Sold to, 2017-01-01

  CMS change of ownership

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437609600000",
    "number": "1679660732",
    "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": "370274536",
            "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",
            "address_2": "SUITE 200",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "807013290",
            "telephone_number": "970-867-3013",
            "fax_number": "970-867-5951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHC-FORT MORGAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2015-07-23",
        "status": "A",
        "authorized_official_last_name": "GIOVANETTI",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-920-7000"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "642204",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85530841",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado Plains Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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.
• Platte Valley Medical Group, LLC

• Home Health Agency in Fort Morgan, CO
• Providers in Fort Morgan, CO by specialty
• Home Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.