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General NPI Number Information
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NPI Number | 1588803050
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Entity Type | Organization
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Legal Business Name | WALSH HOSPITAL DISTRICT HEALTHCARE CENTER
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Dates
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Enumeration Date | 02/06/2009
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | 137 N KANSAS ST
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City | WALSH
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State | CO
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Zip | 81090-5060
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Country | US
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Telephone | 719-324-5253
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 206
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City | WALSH
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State | CO
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Zip | 81090-0206
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Country | US
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Telephone | 719-324-5262
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Fax | 719-324-5266
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. RITA HETRICK
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Credential |
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Telephone | 719-324-5262
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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