| Conejos County Hospital Corporation | |
|
315 Main Street Antonito CO 81120 | |
| (719) 376-2308 | |
| (719) 376-2395 |
| Full Name | Conejos County Hospital Corporation |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 315 Main Street, Antonito, Colorado |
| Authorized Official Name and Position | Thomas N. Henton (ADMINISTRATOR) |
| Authorized Official Contact | 7192746004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Conejos County Hospital Corporation P.o. Box 639 La Jara CO 81140 Ph: (719) 274-6053 | Conejos County Hospital Corporation 315 Main Street Antonito CO 81120 Ph: (719) 376-2308 |
| NPI Number | 1750340832 |
|---|---|
| Provider Enumeration Date | 03/20/2006 |
| Last Update Date | 10/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750340832 | NPI | - | NPPES |
| 88988333 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
San Luis Valley Behavioral Health Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9th & Dahlia, Aka 915 Dahlia, Antonito, CO 81120 Phone: 719-589-3671 | |
Guadalupe Physical Therapy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10th And Dahlia, Antonito, CO 81120 Phone: 719-376-5426 Fax: 719-376-5880 | |
Guadalupe Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10th And Dahlia, Antonito, CO 81120 Phone: 719-376-5426 Fax: 719-376-5880 | |
San Luis Valley Behavioral Health Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9th & Dahlia, Aka 915 Dahlia, Antonito, CO 81120 Phone: 719-589-3671 | |
South Conejos School District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13099 County Rd G., Antonito, CO 81120 Phone: 719-376-7000 | |
Slv Health Antonito Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 115 Main Street, Antonito, CO 81120 Phone: 719-376-2308 Fax: 719-376-2395 |