| NPI | 1518531201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA FORREST Him Director 719-523-2125 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 282NC0060X General Acute Care Hospital Critical Access |
| Enumeration Date | 2021-05-17 |
| Last Update Date | 2021-05-17 |