Healthcare Provider Details

I. General information

NPI: 1801874771
Provider Name (Legal Business Name): EASTERN RIO BLANCO COUNTY HEALTH SERVICE DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2006
Last Update Date: 12/18/2023
Certification Date: 12/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 PIONEERS MEDICAL CENTER DR
MEEKER CO
81641
US

IV. Provider business mailing address

100 PIONEERS MEDICAL CENTER DR
MEEKER CO
81641-3181
US

V. Phone/Fax

Practice location:
  • Phone: 970-878-5047
  • Fax: 970-878-3285
Mailing address:
  • Phone: 970-878-5047
  • Fax: 970-878-3285

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code282NR1301X
TaxonomyRural Acute Care Hospital
License Number0395
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number010850
License Number StateCO

VIII. Authorized Official

Name: ELIZABETH L SELLERS
Title or Position: CEO
Credential:
Phone: 970-878-9260