Costco Wholesale Corporation
Home Health in Gypsum, CO. Organization (NPI-2).
NPI number1679014153
StatusActive
Last updated in NPPESAug 22, 2023
Details
- NPI
- 1679014153
- Entity type
- Organization (NPI-2)
- Legal business name
- Costco Wholesale Corporation
- Organization subpart
- No
- Enumeration date
- Mar 16, 2017
- Certification date
- Aug 22, 2023
- Last updated
- Aug 22, 2023
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 |
|---|---|---|---|---|
| 251E00000X | Home Health | 21340 | CO | Yes |
Practice location
170 Cooley Mesa RoadGypsum, CO 81631
Phone 970-376-7841 · Fax 970-328-7607
Mailing address
170 Cooley Mesa RoadGypsum, CO 81631
Phone 970-376-7841 · Fax 970-328-7607
Authorized official
Daniel Cullen
Pharmacy Manager
9703287610
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