Healthcare Provider Details

I. General information

NPI: 1194872465
Provider Name (Legal Business Name): HUERFANO COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2007
Last Update Date: 07/25/2022
Certification Date: 07/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23500 US HIGHWAY 160 DBA SPANISH PEAKS REGIONAL HEALTH CENTER PRO FEES
WALSENBURG CO
81089-9524
US

IV. Provider business mailing address

23500 US HIGHWAY 160 DBA SPANISH PEAKS REGIONAL HEALTH CENTER PRO FEES
WALSENBURG CO
81089-9524
US

V. Phone/Fax

Practice location:
  • Phone: 719-738-5100
  • Fax: 719-738-5138
Mailing address:
  • Phone: 719-738-5144
  • Fax: 719-738-5138

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC0050X
TaxonomyCritical Access Hospital Clinic/Center
License Number010720
License Number StateCO

VIII. Authorized Official

Name: COLETTE MARTIN
Title or Position: CFO
Credential:
Phone: 719-738-5137