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MIDWAY YOUTH SERVICES INC NPI 1194857318


NPI Information

NPI: 1194857318
Provider Name: MIDWAY YOUTH SERVICES, INC
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
1516 REMINGTON ST
FORT COLLINS, CO
ZIP 80524
Phone: (970) 484-7447
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MIDWAY YOUTH SERVICES, INC is a residential treatment facility emotionally disturbed children in Fort Collins, CO. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. MIDWAY YOUTH SERVICES, INC NPI is 1194857318. The provider is registered as an organization entity type.

The provider's business location address is:

1516 REMINGTON ST
FORT COLLINS, CO
ZIP 80524-140
Phone: (970) 484-7447
Fax: (970) 484-7471

The provider's authorized official is Barbra Rachelle Montoya .
The authorized official title is Clinical Director and has the following contact phone number (970) 484-7447.

The enumeration date for this NPI number is 3/12/2007 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1322D00000XResidential Treatment Facility, Emotionally Disturbed Children44002COLORADOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
167458297MEDICAIDCOLORADO

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

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