Healthcare Provider Details

I. General information

NPI: 1811861503
Provider Name (Legal Business Name): SALIDA HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2025
Last Update Date: 10/03/2025
Certification Date: 10/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 FRONT ST
FAIRPLAY CO
80440-5001
US

IV. Provider business mailing address

PO BOX 429
SALIDA CO
81201-0429
US

V. Phone/Fax

Practice location:
  • Phone: 719-530-2200
  • Fax:
Mailing address:
  • Phone: 719-530-2213
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: AYSHA DOUGLAS
Title or Position: VICE PRESIDENT FINANCE
Credential:
Phone: 719-530-2213