Healthcare Provider Details

I. General information

NPI: 1720241334
Provider Name (Legal Business Name): SEDGWICK COUNTY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2008
Last Update Date: 07/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 CEDAR ST
JULESBURG CO
80737-1121
US

IV. Provider business mailing address

900 CEDAR ST
JULESBURG CO
80737-1121
US

V. Phone/Fax

Practice location:
  • Phone: 970-474-3376
  • Fax: 970-474-2758
Mailing address:
  • Phone: 970-474-3376
  • Fax: 970-474-2758

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateCO

VIII. Authorized Official

Name: DEB NAIL
Title or Position: CLINIC MANAGER
Credential:
Phone: 970-474-3376