Provider Demographics
NPI:1801260906
Name:WALTER/MCCANN, INC.
Entity type:Organization
Organization Name:WALTER/MCCANN, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:AGENCY MANAGER/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATTI
Authorized Official - Middle Name:J
Authorized Official - Last Name:WALTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-494-1111
Mailing Address - Street 1:2850 MCCLELLAND DR STE 1900
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-2576
Mailing Address - Country:US
Mailing Address - Phone:970-494-1111
Mailing Address - Fax:970-226-4790
Practice Address - Street 1:2850 MCCLELLAND DR STE 1900
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-2576
Practice Address - Country:US
Practice Address - Phone:970-494-1111
Practice Address - Fax:970-226-4790
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-30
Last Update Date:2015-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO04O530253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO04O530OtherSTATE LICENSE