Healthcare Provider Details

I. General information

NPI: 1720086333
Provider Name (Legal Business Name): YUMA DISTRICT HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2005
Last Update Date: 08/24/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 W 8TH AVE
YUMA CO
80759-2641
US

IV. Provider business mailing address

1000 W 8TH AVE
YUMA CO
80759-2641
US

V. Phone/Fax

Practice location:
  • Phone: 970-848-4758
  • Fax:
Mailing address:
  • Phone: 970-848-4758
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number040172
License Number StateCO

VIII. Authorized Official

Name: ELIZABETH A SAXTON
Title or Position: CEO
Credential:
Phone: 970-848-5405