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Eben Ezer Lutheran Care Center

Eben Ezer Lutheran Care Center is a health care provider in Brush, CO. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 122 Hospital Rd, Brush, CO 80723-1702, US
Practice Location Phone970-842-2861
Practice Location Fax970-842-3148
Legal Business NameEBEN EZER LUTHERAN CARE CENTER
NPI ?1407852981
Entity TypeOrganization
Enumeration Date ? Jun 21, 2005
Last Update Date ? Jul 8, 2007
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Eben Ezer Lutheran Care Center

SpecialtySpecializationLicenseLicense State
Skilled Nursing Facility 0227Colorado

legacy-id-icon Legacy Provider IDs of Eben Ezer Lutheran Care Center

Provider IdIssuer StateIssuer TypeIssuer
05653365ColoradoMedicaid

official-icon Authorized Official of Eben Ezer Lutheran Care Center

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Eben Ezer Lutheran Care Center's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Ms. Barbara Bradshaw (RN)
Authorized Official Title/PositionCHIEF EXECUTIVE OFFICER
Authorized Official Phone Number970-842-2861