NPI 1013178557

Porter Adventist Hospital

Organisation Public Health or Welfare Agency Bailey, CO

Practice location

Address: 851 Sleepy Hollow Dr, Bailey, CO 80421-2068
Phone: (303) 229-6692

Authorised official

Name: Heidi a Bode
Title: Psychotherapist
Phone: (303) 229-6692

Registered specialties

Public Health or Welfare Agency Primary

Agencies Taxonomy 251K00000X Licence 9706 (CO)

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Registry record

NPI: 1013178557
Entity type: Organization
NPI issued: 18 Jun 2008
Record last updated: 15 Feb 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.