CONEJOS COUNTY HOSPITAL LTCU CORPORATION (NPI# 1447219472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447219472 |
| Entity Type | Organization |
| Organization Name | CONEJOS COUNTY HOSPITAL LTCU CORPORATION |
| Practice Address |
19021 State Hwy La Jara CA 81140 |
| Mailing Address |
19021 State Hwy Po Box 639 La Jara CA 81140 |
| Practice Telephone | 7192746058 |
| Practice Fax Number | 7192746003 |
| Mailing Telephone | 7192746058 |
| Mailing Fax Number | 7192746003 |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. BRIGITTE INGE FOUST (HIPPA PRIVACY SECURITY OFFICER) |
| Authorized Official Telephone | 7192746029 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 71885706 | 05 |
| Street Address |
19021 STATE HWY |
| City | LA JARA |
| State | CA |
| Zip Code | 81140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407472749 | San Luis Valley Community Mental Health Center | Clinic/Center | 322 Walnut Street, La Jara, CO 81140 | 2020-06-23 |
| 1477183408 | Conejos County Government | Ambulance | 17705 State Hwy 285, Suite B, La Jara, CO 81140 | 2020-01-17 |
| 1225529688 | David Andrew Martin | Contractor | 15310 Cr T.37, La Jara, CO 81140 | 2018-05-22 |
| 1164974598 | Thomas Edgar Mcwilliams | Emergency Medicine | 3247fdr250, La Jara, CO 81140 | 2016-11-02 |
| 1710308952 | Vaughn D Jackson, Pllc | Clinic/Center | 412 Main, La Jara, CO 81140 | 2013-12-13 |
| 1912349986 | Lois Eileen Trenholm | Chiropractor | 7 Willow Drive, La Jara, CO 81140 | 2013-07-19 |
| 1356599286 | Lou Ann Cheslock Skinner | Registered Nurse | 19023 Us Hwy 285, La Jara, CO 81140 | 2008-09-04 |
| 1063690600 | Lutheran Hospital Association of The San Luis Valley | Obstetrics & Gynecology | 19021 Highway 285, La Jara, CO 81140 | 2008-02-06 |
| 1982720348 | Colin James Henderson | Emergency Medicine | 19021 Hwy 285, Conejos County Hospital, La Jara, CO 81140 | 2007-03-21 |
| 1376504092 | Conejos County Hospital Corporation | Family Medicine | 509 Main Street, La Jara, CO 81140 | 2006-03-31 |
| Find all providers in zip 81140 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184683278 | Conejos County Hospital Corporation Long Term Care Unit | Nursing Facility/Intermediate Care Facility | 19021 State Hwy 885, La Jara, CO 81140 | 2006-03-20 |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.