SEDGWICK COUNTY HEALTH CENTER NPI 1962536342

NPI Information

NPI: 1962536342
Provider Name: SEDGWICK COUNTY HEALTH CENTER

Doing Business As: JACOB & ANNE B. WALTER ASSISTED LIVING CENTER

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

Address:
900 PINE ST
JULESBURG, CO
ZIP 80737
Phone: (970) 474-3323
Get Directions

SEDGWICK COUNTY HEALTH CENTER is an assisted living facility in Julesburg, CO. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. SEDGWICK COUNTY HEALTH CENTER NPI is 1962536342. The provider is registered as an organization entity type.
The provider Is Doing Business As Jacob & Anne B. Walter Assisted Living Center.

The provider's business location address is:

900 PINE ST
JULESBURG, CO
ZIP 80737-139
Phone: (970) 474-3323
Fax: (970) 474-4912

The provider's authorized official is David Garnas .
The authorized official title is Ceo and has the following contact phone number (970) 474-3323.

The CLIA number assigned to this NPI record is 06D0875666 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility		AL0020	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	36506320	MEDICAID	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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