ISLAND GROVE REGIONAL TRT CENTER – NPI #1386782142
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

ISLAND GROVE REGIONAL TRT CENTER is a substance abuse rehabilitation facility located in GREELEY, CO. NPPES has assigned the NPI number 1386782142 to ISLAND GROVE REGIONAL TRT CENTER on February 02, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. 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 ISLAND GROVE REGIONAL TRT CENTER below.

NPI Profile for
ISLAND GROVE REGIONAL TRT CENTER

NPI Number
1386782142
Enumeration Date

(more than 19 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
ISLAND GROVE REGIONAL TRT CENTER
Primary location
1140 M STREET
GREELEY, CO 80631
Phone: (970) 356-6664 Fax: (970) 356-1349
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KENDALL ALEXANDER
EXECUTIVE DIRECTOR
Phone: (970) 313-1186
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
324500000X
- Substance Abuse Rehabilitation Facility (Primary)
CO

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.