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Export Provider Record NPI 1124359765
Rangely Distrct Hospital
Organization Subpart: NO
Active
NPI Number1124359765
NPI TypeNPI-2 Organization
SpecialtyPharmacy, Community/Retail Pharmacy
Provider Details
NPI1124359765
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2010-01-21
Last Updated2021-12-10
Authorized OfficialKyle Wren
CEO
Phone: 9706755011
Mailing Address225 Eagle Crest Dr
Rangely, CO 81648-3105
United States
Phone: (970) 675-5011 | Fax: (970) 675-5224
📍 View Map
Primary Practice Address225 Eagle Crest Dr
Rangely, CO 81648-3105
United States
Phone: (970) 675-2169 | Fax: (970) 675-2160
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)2123530PK
MEDICAIDCO80489061
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No333600000X – Pharmacy
No3336L0003X – Pharmacy, Long Term Care Pharmacy
Yes3336C0003X – Pharmacy, Community/Retail PharmacyCO793
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About NPI 1124359765

Rangely Distrct Hospital is an organization registered in the CMS NPPES NPI Registry with NPI number 1124359765. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Rangely, CO. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2010-01-21. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1124359765?

NPI 1124359765 belongs to Rangely Distrct Hospital, a Pharmacy, Community/Retail Pharmacy in Rangely, CO. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1124359765 active?

The current status of NPI 1124359765 in the NPPES registry is Active. The record was last updated on 2021-12-10.

What specialty is NPI 1124359765?

NPI 1124359765 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1124359765?

You can verify NPI 1124359765 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1124359765?

The primary practice address on file for NPI 1124359765 is 225 Eagle Crest Dr, Rangely, CO 81648-3105. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1124359765 issued?

NPI 1124359765 was first issued (enumerated) on 2010-01-21. The NPPES record was last updated on 2021-12-10.

Practice Location Map

Rangely Distrct Hospital is located at 225 Eagle Crest Dr, Rangely, CO. Use the map below to find directions or verify the practice location.

📍 225 Eagle Crest Dr, Rangely, CO 81648-3105  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Rangely Distrct Hospital. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1124359765. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Pharmacy, Community/Retail Pharmacy793CO
Data Verified from CMS NPPES Last synced: 2026-06-30 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162