Provider Demographics
NPI:1871550145
Name:RANGELY HOSPITAL DISTRICT
Entity type:Organization
Organization Name:RANGELY HOSPITAL DISTRICT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING AND VERIFICATION
Authorized Official - Prefix:
Authorized Official - First Name:NICK
Authorized Official - Middle Name:
Authorized Official - Last Name:RIGGIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-675-4207
Mailing Address - Street 1:225 EAGLE CREST
Mailing Address - Street 2:
Mailing Address - City:RANGELY
Mailing Address - State:CO
Mailing Address - Zip Code:81648
Mailing Address - Country:US
Mailing Address - Phone:970-675-5011
Mailing Address - Fax:970-675-4228
Practice Address - Street 1:225 EAGLE CREST DR
Practice Address - Street 2:
Practice Address - City:RANGELY
Practice Address - State:CO
Practice Address - Zip Code:81648-3105
Practice Address - Country:US
Practice Address - Phone:970-675-5011
Practice Address - Fax:970-675-4228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-28
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0681251E00000X
CO011132251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
067267Medicare PIN