Healthcare Provider Details

I. General information

NPI: 1053790444
Provider Name (Legal Business Name): SALIDA HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2015
Last Update Date: 10/05/2020
Certification Date: 10/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

704 EDWARDS ST
WESTCLIFFE CO
81252-8588
US

IV. Provider business mailing address

PO BOX 429
SALIDA CO
81201-0429
US

V. Phone/Fax

Practice location:
  • Phone: 719-530-2000
  • Fax: 719-530-2055
Mailing address:
  • Phone: 719-530-2213
  • Fax:

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 Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. ROBERT A MORASKO
Title or Position: PRESIDENT/CEO
Credential:
Phone: 719-530-2231