Provider Demographics
NPI:1881811107
Name:RANGELY HOSPITAL DISTRICT
Entity type:Organization
Organization Name:RANGELY HOSPITAL DISTRICT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:L
Authorized Official - Last Name:DILLON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-675-2270
Mailing Address - Street 1:225 EAGLE CREST DR.
Mailing Address - Street 2:
Mailing Address - City:RANGELY
Mailing Address - State:CO
Mailing Address - Zip Code:81648-2100
Mailing Address - Country:US
Mailing Address - Phone:970-675-5011
Mailing Address - Fax:970-675-5224
Practice Address - Street 1:225 EAGLE CREST DR.
Practice Address - Street 2:
Practice Address - City:RANGELY
Practice Address - State:CO
Practice Address - Zip Code:81648-2100
Practice Address - Country:US
Practice Address - Phone:970-675-5011
Practice Address - Fax:970-675-5224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO00073 RAOtherBLUE CROSS
CO05659149Medicaid
CO05659149Medicaid