Provider Demographics
NPI:1609842145
Name:CALI CORP
Entity Type:Organization
Organization Name:CALI CORP
Other - Org Name:SENTIA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELINDA
Authorized Official - Middle Name:L
Authorized Official - Last Name:NAGLE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:970-927-1717
Mailing Address - Street 1:1450 E VALLEY RD
Mailing Address - Street 2:SUITE 105 ALL VALLEY WOMENS CARE
Mailing Address - City:BASALT
Mailing Address - State:CO
Mailing Address - Zip Code:81621-8352
Mailing Address - Country:US
Mailing Address - Phone:970-927-1717
Mailing Address - Fax:970-927-6164
Practice Address - Street 1:1450 E VALLEY RD
Practice Address - Street 2:SUITE 105
Practice Address - City:BASALT
Practice Address - State:CO
Practice Address - Zip Code:81621-8352
Practice Address - Country:US
Practice Address - Phone:970-927-1717
Practice Address - Fax:970-927-6164
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-24
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
No207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetricsGroup - Single Specialty
No261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO33022046Medicaid
CO33022046Medicaid
=========OtherEIN