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General NPI Number Information
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NPI Number | 1275209009
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Entity Type | Organization
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Legal Business Name | DELTA COUNTY MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 08/20/2021
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Last Update Date | 12/26/2025
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Provider Practice Location Address
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Address Line | 1450 BURGESS ST
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City | DELTA
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State | CO
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Zip | 81416-2849
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Country | US
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Telephone | 970-874-7668
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Fax | 970-874-0708
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Provider Business Mailing Address
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Address Line | PO BOX 10100
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City | DELTA
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State | CO
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Zip | 81416-0008
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Country | US
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Telephone | 970-874-7668
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Fax | 970-874-0708
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Authorized Official
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Title or Position | CLO AND INTERIM CEO
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Name | JULIE HUFFMAN
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Credential |
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Telephone | 970-874-2285
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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