Healthcare Provider Details

I. General information

NPI: 1366477259
Provider Name (Legal Business Name): MERCY MEDICAL CENTER OF DURANGO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 E 3RD AVE UNIT 10
DURANGO CO
81301-5016
US

IV. Provider business mailing address

1010 THREE SPRINGS BLVD
DURANGO CO
81301-8296
US

V. Phone/Fax

Practice location:
  • Phone: 970-247-4311
  • Fax:
Mailing address:
  • Phone: 970-247-4311
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: KIRK A DIGNUM
Title or Position: CEO/PRESIDENT
Credential:
Phone: 970-247-4311