Individual ProviderShirley J PurcellSocial WorkerBehavioral Health & Social Service ProvidersPractice Address3800 Automation Way Ste 102, Fort Collins, CO 80525-3451(970) 900-5835(208) 605-7070PECOS EnrollmentThis provider is enrolled in PECOS as SHIRLEY PURCELL.Based on the most recent information from CMS, provider Shirley J Purcell is legally eligible to order and refer claims for DME services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1295958502Provider TypeIndividualFull NamePurcell, Shirley JCredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date4/11/2007Last Updated6/10/2024Contact InformationPractice LocationPractice Address3800 Automation Way Ste 102, Fort Collins, CO 80525-3451Phone(970) 900-5835FaxUnlisted FaxMailing LocationMailing Address1650 S Topaz Way, Meridian, ID 83642-4474Phone(208) 605-7070FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense583ColoradoProvider IdentifiersIDDescriptionIssuerID06173381DescriptionMedicaidIssuerUnlistedColorado