Healthcare Provider Details

I. General information

NPI: 1932796323
Provider Name (Legal Business Name): SALIDA HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/31/2020
Last Update Date: 12/31/2020
Certification Date: 12/22/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 RUSH DR
SALIDA CO
81201-9627
US

IV. Provider business mailing address

PO BOX 429
SALIDA CO
81201-0429
US

V. Phone/Fax

Practice location:
  • Phone: 719-530-2200
  • Fax: 719-530-2231
Mailing address:
  • Phone: 719-530-2200
  • Fax: 719-530-2201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: LESLEY FAGERBERG
Title or Position: VICE PRESIDENT FINANCE
Credential:
Phone: 719-530-2213