| NPI | 1720107519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE OWENS Director Of Nursing Administration 719-743-2421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC0060X General Acute Care Hospital, Critical Access (Licence: CO 010150) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 010150) |
| 251E00000X Home Health (Licence: CO 17X799) | |
| 251G00000X Hospice Care, Community Based (Licence: CO 17X799) | |
| 261QD0000X Clinic/Center, Dental | |
| 275N00000X Medicare Defined Swing Bed Unit (Licence: CO 010150) | |
| 314000000X Skilled Nursing Facility (Licence: CO 05653688) | |
| 341600000X Ambulance | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2021-07-13 |