Healthcare Provider Details

I. General information

NPI: 1841343407
Provider Name (Legal Business Name): YUMA DISTRICT HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 08/22/2023
Certification Date: 08/22/2023
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: 970-848-5405
  • Fax:
Mailing address:
  • Phone: 970-848-5405
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC0050X
TaxonomyCritical Access Hospital Clinic/Center
License Number010127
License Number StateCO

VIII. Authorized Official

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