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NPI Code Detail

MEDICARE: TRINIDAD AREA HEALTH ASSOCIATION

MEDICARE: TRINIDAD AREA HEALTH ASSOCIATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282NC0060XCritical Access Hospital
2282NC0060XCritical Access Hospital0.107.04CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184616740
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRINIDAD AREA HEALTH ASSOCIATION
Provider Business Mailing Address
First Line : 410 BENEDICTA AVE
Second Line :
City : TRINIDAD
State : CO
Zip : 81082-2005
Country : US
Telephone Number : 719-846-9213
Fax Number : 719-845-4243
Provider Business Practice Location Address
First Line : 410 BENEDICTA AVE
Second Line :
City : TRINIDAD
State : CO
Zip : 81082-2005
Country : US
Telephone Number : 719-846-9213
Fax Number : 719-845-4243
Authorized Official
Title or Position : PFS DIRECTOR
Name : KATHY TOPPING
Credential :
Telephone Number : 719-845-3168
Provider Enumeration Date : 08/19/2005
Last Update Date : 01/06/2022

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