SOUTHEAST COLORADO HOSPITAL DISTRICT (NPI# 1669565677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669565677 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST COLORADO HOSPITAL DISTRICT |
| Practice Address |
900 Church St Springfield CO 81073-1636 |
| Mailing Address |
373 E 10th Ave Springfield CO 81073-1622 |
| Practice Telephone | 7195236628 |
| Practice Fax Number | 7195234513 |
| Mailing Telephone | 7195236628 |
| Mailing Fax Number | 7195234513 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2015-04-27 |
| Authorized Official Name | MR. MICHAEL E. BOYLES (CEO ADMINISTRATOR) |
| Authorized Official Telephone | 7195232130 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTHEAST COLORADO HOSPITAL DISTRICT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083787840 | Southeast Colorado Hospital District | Hospice Care, Community Based | 200 E 10th Ave, Springfield, CO 81073-1621 | 2006-11-17 |
| 1053302695 | Southeast Colorado Hospital District | Nursing Facility/Intermediate Care Facility | 373 East 10th Avenue, Springfield, CO 81073-1622 | 2005-11-02 |
| 1285727297 | Southeast Colorado Hospital District | Medicare Defined Swing Bed Unit | 373 E 10th Ave, Springfield, CO 81073-1622 | 2006-10-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SOUTHEAST COLORADO HOSPITAL DISTRICT | 373 E 10th Ave, Springfield, CO 81073-1622 |
| Street Address |
900 CHURCH ST |
| City | SPRINGFIELD |
| State | CO |
| Zip Code | 81073-1636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396717013 | Dana Marie Lewis | Family Medicine | 900 Church St, Springfield, CO 81073-1636 | 2006-02-06 |
| 1679105357 | Cynthia Lynn Packard | Dental Hygienist | 900 Church St, Springfield, CO 81073-1636 | 2020-02-10 |
| 1659902898 | Poudre Valley Medical Group, LLC | Internal Medicine | 900 Church St, Springfield, CO 81073-1636 | 2020-01-27 |
| 1659709574 | Ty Shettron | Nurse Practitioner | 900 Church St, Springfield, CO 81073-1636 | 2013-11-01 |
| 1447300959 | Springfield Clinic | Clinic/Center | 900 Church St, Springfield, CO 81073-1662 | 2007-01-10 |
| 1609944313 | Antonio S Manalo | Family Medicine | 900 Church St, Springfield, CO 81073 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124031190 | County Commissioners of Baca | Public Health or Welfare | 741 Main Street, Suite #4, Springfield, CO 81073 | 2006-08-14 |
| 1922176643 | Staci Faye Bishop | Physician Assistant | 373 East 10th Avenue, Springfield, CO 81073-0000 | 2006-12-01 |
| 1699253989 | Baca Home Care Agency, Inc | Adult Companion | 681 W 5th Ave, Springfield, CO 81073-1208 | 2018-07-30 |
| 1316107972 | Leeanna Turner | Registered Nurse | 700 Colorado St, Springfield, CO 81073-1425 | 2008-06-16 |
| 1225340060 | Chambrey Ann Johnson | Occupational Therapist | 900 Hill St, Springfield, CO 81073-1435 | 2010-07-09 |
| 1457472086 | Baca County Department of Social Services | Case Manager/Care Coordinator | 772 Colorado St, Suite 1, Springfield, CO 81073-1456 | 2007-04-02 |
| 1548704729 | Baca County Department of Social Services | Case Management | 772 Colorado St, Suite 1, Springfield, CO 81073-1456 | 2016-12-07 |
| 1740489947 | Baca County Department of Social Services | Case Management | 772 Colorado St, Suite 1, Springfield, CO 81073-1456 | 2007-07-17 |
| 1922250976 | County Commissioners of Baca | Registered Nurse | 741 Main St, Suite #4, Springfield, CO 81073-1548 | 2008-10-21 |
| 1194191288 | Jessami Caddick | Registered Nurse | 741 Main St, 4, Springfield, CO 81073-1548 | 2015-08-12 |
| Find all providers in zip 81073 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639654809 | Bardstown Primary Care, Pllc | Clinic/Center | 102 W Depot St, Springfield, KY 40069-1159 | 2018-10-03 |
| 1326496100 | Sgoh Acquisition, Inc. | Clinic/Center | 2828 N National Ave, Springfield, MO 65803-4306 | 2016-06-02 |
| 1508141961 | Spring View Hospital LLC | Clinic/Center | 79 Bobolink Dr, Springfield, KY 40069-1516 | 2011-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023663879 | Salida Hospital District | Clinic/Center | 550 W Us Highway 50, Salida, CO 81201-2238 | 2019-08-08 |
| 1356995237 | Salida Hospital District | Clinic/Center | 405 Denver Avenue, Saguache, CO 81149 | 2019-07-29 |
| 1497279236 | Southwest Health System, Inc. | Clinic/Center | 601 Central Ave, Dolores, CO 81323 | 2017-08-02 |
| 1144777566 | Valley Citizens' Foundation for Health Care, Inc. | Clinic/Center | 1033 2nd Avenue, Monte Vista, CO 81144-1737 | 2016-09-01 |
| 1184170748 | Wallowa County Health Care District | Clinic/Center | 16351 E. 104th Place, Commerce City, CO 80022 | 2016-09-01 |
| 1457749608 | Keefe Memorial Health Service District | Clinic/Center | 102 E 2nd Avenue, Kit Carson, CO 80825 | 2014-12-22 |
| 1396143574 | Keefe Memorial Health Service District | Clinic/Center | 615 West 5th North, Cheyenne Wells, CO 80810 | 2014-12-19 |
| 1255738001 | Family Care Clinic | Clinic/Center | 102 Hays Ave, Sterling, CO 80751-2866 | 2014-11-21 |
| 1366709263 | Dolores Medical Center | Clinic/Center | 507 Central Avenue, Dolores, CO 81323 | 2012-04-16 |
| 1528381928 | Valley Citizens' Foundation for Healthcare, Inc | Clinic/Center | 802 Rio Grande Avenue, Creede, CO 81130-0755 | 2010-03-12 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGFIELD |
| Zip Code | 81073 |
Please comment or provide details below to improve the information on SOUTHEAST COLORADO HOSPITAL DISTRICT.
| 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.