| NPI | 1285727297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA FORREST Him Director 719-523-2125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC0060X General Acute Care Hospital Critical Access |
| Additional Taxonomies | 261QC0050X Clinic/Center Critical Access Hospital |
| 275N00000X Medicare Defined Swing Bed Unit | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2021-04-21 |