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Centennial Mental Health Center, Inc.

Organization Active NPI Secured Medical Transport (VAN) · Holyoke, CO

NPI 1992677124 · NPPES record last updated Sep 18, 2025

Key facts

NPI
1992677124
Entity type
Organization (NPI type 2)
Primary specialty
Secured Medical Transport (VAN) 343800000X
Legal business name
CENTENNIAL MENTAL HEALTH CENTER, INC.
Practice address
115 N Campbell Ave
Holyoke, CO 80734-1003
Phone
(970) 522-4549
Fax
(970) 522-9544
NPI assigned
Sep 18, 2025
Organization subpart
No

Authorized official

Name
Lois A. Elliott
Title
Program Integrity Analyst
Phone
(970) 522-4549

Corporate family (same tax ID) 12

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

National Provider Directory

Tax ID family
Centennial Mental Healt (65 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Secured Medical Transport (VAN) 343800000X Yes

Addresses

Primary practice location

115 N Campbell Ave
Holyoke, CO 80734-1003

Mailing address

211 W Main St
Sterling, CO 80751-3168
Phone (970) 522-4549

Other identifiers

IdentifierTypeStateIssuer
9000218395MedicaidCO

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 18, 2025.

{
    "created_epoch": "1758153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1992677124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 W MAIN ST",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807513168",
            "telephone_number": "970-522-4549",
            "fax_number": "970-522-9544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N CAMPBELL AVE",
            "city": "HOLYOKE",
            "state": "CO",
            "postal_code": "807341003",
            "telephone_number": "970-522-4549",
            "fax_number": "970-522-9544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTENNIAL MENTAL HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-18",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "LOIS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PROGRAM INTEGRITY ANALYST",
        "authorized_official_telephone_number": "970-522-4549"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000218395",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holyoke, CO

All providers in Holyoke, CO · Secured Medical Transport (VAN) in Colorado

Sources for this page

Verify at the official NPI Registry.