Provider Demographics
NPI:1477324937
Name:AMELIORATION HEALTH LLC
Entity Type:Organization
Organization Name:AMELIORATION HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:MELCHIORRE
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:239-253-6137
Mailing Address - Street 1:PO BOX 174
Mailing Address - Street 2:
Mailing Address - City:WESTCLIFFE
Mailing Address - State:CO
Mailing Address - Zip Code:81252-0174
Mailing Address - Country:US
Mailing Address - Phone:239-253-6137
Mailing Address - Fax:
Practice Address - Street 1:445 SIOUX CIRCLE
Practice Address - Street 2:
Practice Address - City:CANON CITY
Practice Address - State:CO
Practice Address - Zip Code:81212
Practice Address - Country:US
Practice Address - Phone:232-253-6137
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-12
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center