Rangely Distrct Hospital
Pharmacy, Community/Retail Pharmacy in Rangely, CO. Organization (NPI-2).
NPI number1124359765
StatusActive
Last updated in NPPESDec 10, 2021
Details
- NPI
- 1124359765
- Entity type
- Organization (NPI-2)
- Legal business name
- Rangely Distrct Hospital
- Organization subpart
- No
- Enumeration date
- Jan 21, 2010
- Certification date
- Dec 10, 2021
- Last updated
- Dec 10, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 793 | CO | Yes |
| 333600000X | Pharmacy | – | – | |
| 3336L0003X | Pharmacy, Long Term Care Pharmacy | – | – |
Other names
- Rangely Pharmacy (Doing Business As)
Practice location
225 Eagle Crest DrRangely, CO 81648-3105
Phone 970-675-2169 · Fax 970-675-2160
Mailing address
225 Eagle Crest DrRangely, CO 81648-3105
Phone 970-675-5011 · Fax 970-675-5224
Authorized official
Kyle Wren
Ceo
9706755011
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