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Costco Wholesale Corporation
Home Health Agency in Gypsum, Colorado
NPI 1679014153

Costco Wholesale Corporation is a Home Health Agency based in Gypsum, CO. Costco Wholesale Corporation practices in Gypsum, CO. The NPI Number for Costco Wholesale Corporation is 1679014153 and holds a License No. 21340 (Colorado).

The current practice location address for Costco Wholesale Corporation is 170 Cooley Mesa Road, Gypsum, CO and can be reached out via phone at 970-376-7841 and via fax at 970-328-7607.

Location: 170 Cooley Mesa Road, Gypsum, CO, 81631
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679014153
Provider Name
Costco Wholesale Corporation
Credential
Provider Entity Type
Organization
Address
170 Cooley Mesa Road, Gypsum, CO, 81631
Phone Number
970-376-7841
Fax Number
970-328-7607
Provider Enumeration Date
03/16/2017
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
170 Cooley Mesa Road
City
Gypsum
State
Colorado
Zip
81631
Phone Number
970-376-7841
Fax Number
970-328-7607
person
Provider Business Mailing Address Details
Address
170 Cooley Mesa Road
City
Gypsum
State
Colorado
Zip
81631
Phone Number
970-376-7841
Fax Number
970-328-7607
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
21340 (Colorado)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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