NPIMap

Organization Active NPI

Rangely Hospital District

Doing business as Eagle Crest Assisted Living

  • Assisted Living Facility
  • Rangely, CO
National Provider Identifier
1871616573
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
RANGELY HOSPITAL DISTRICT
Doing business as
Eagle Crest Assisted Living
Practice address
222 Eagle Crest St
Rangely, CO 81648-2136
Phone
(970) 675-5011
NPI assigned
Apr 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jason McCormick
Title
Ceo
Phone
(970) 675-5011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

222 Eagle Crest St
Rangely, CO 81648-2136

Mailing address

511 S White Ave
Rangely, CO 81648-2100

Other identifiers 1

IdentifierTypeStateIssuer
23172746MedicaidCO

Other names 1

  • Eagle Crest Assisted Living Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rangely Family Medicine9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871616573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 S WHITE AVE",
            "city": "RANGELY",
            "state": "CO",
            "postal_code": "816482100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 EAGLE CREST ST",
            "city": "RANGELY",
            "state": "CO",
            "postal_code": "816482136",
            "telephone_number": "970-675-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANGELY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "970-675-5011"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "23172746",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eagle Crest Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rangely, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.