| Conejos County Hospital Corporation | |
|
509 Main Street La Jara CO 81140 | |
| (719) 274-5000 | |
| (719) 274-4111 |
| Full Name | Conejos County Hospital Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 509 Main Street, La Jara, Colorado |
| Authorized Official Name and Position | Thomas Newton 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 509 Main Street La Jara CO 81140 Ph: (719) 274-5000 | Conejos County Hospital Corporation 509 Main Street La Jara CO 81140 Ph: (719) 274-5000 |
| NPI Number | 1376504092 |
|---|---|
| Provider Enumeration Date | 03/31/2006 |
| Last Update Date | 02/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376504092 | NPI | - | NPPES |
| 40926834 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
San Luis Valley Behavioral Health Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 322 Walnut Street, La Jara, CO 81140 Phone: 719-589-3671 | |
San Luis Valley Behavioral Health Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 322 Walnut Street, La Jara, CO 81140 Phone: 719-589-3671 | |
C&g Health Care Management Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 39 Calle Miller, La Jara, CO 81140 Phone: 719-274-3311 | |
Slv Health La Jara Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 509 Main Street, La Jara, CO 81140 Phone: 719-274-5000 Fax: 719-274-4111 |