MOMENTA – NPI #1558850339
Clinic/Center

MOMENTA is an AHC clinic located in GLENWOOD SPRINGS, CO. NPPES has assigned the NPI number 1558850339 to MOMENTA on May 07, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MOMENTA” is a dba name, the actual legal business name for this organization is DANCO SUPPORTIVE SERVICES COLORADO INC. The primary taxonomy selected by this provider is 261QR0405X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Rehabilitation, Substance Use Disorder

The NPI profile was previously updated about 8 years ago on Jul 18, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MOMENTA below.

NPI Profile for
DANCO SUPPORTIVE SERVICES COLORADO INC

NPI Number
1558850339
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DANCO SUPPORTIVE SERVICES COLORADO INC
Doing Business As (dba): MOMENTA
Primary location
3302 SOUTH GRAND AVENUE
GLENWOOD SPRINGS, CO 81601
Phone: (970) 930-6355 Fax: (970) 366-3929
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
AMANDA OWENSBY
PROGRAM DIRECTOR
Phone: (970) 930-6355
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QR0405X
- Clinic/Center / Rehabilitation, Substance Use Disorder (Primary)		 CO 1985-01

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.