Provider Demographics
NPI:1073227401
Name:MCHUGH TILE & STONE
Entity Type:Organization
Organization Name:MCHUGH TILE & STONE
Other - Org Name:MCHUGH REMODELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:GREGORY
Authorized Official - Last Name:MCHUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-797-6791
Mailing Address - Street 1:161 SATURN DR UNIT 1B
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-3953
Mailing Address - Country:US
Mailing Address - Phone:970-797-6791
Mailing Address - Fax:
Practice Address - Street 1:161 SATURN DR UNIT 1B
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-3953
Practice Address - Country:US
Practice Address - Phone:970-797-6791
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-10
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Multi-Specialty