Southeast Colorado Hospital District | |
900 Church St Springfield CO 81073-1636 | |
(719) 523-6628 | |
(719) 523-4513 |
Full Name | Southeast Colorado Hospital District |
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Speciality | Clinic/Center |
Location | 900 Church St, Springfield, Colorado |
Authorized Official Name and Position | Carla Forrest (HIM DIRECTOR) |
Authorized Official Contact | 7195232125 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Southeast Colorado Hospital District 373 E 10th Ave Springfield CO 81073-1622 Ph: (719) 523-6628 | Southeast Colorado Hospital District 900 Church St Springfield CO 81073-1636 Ph: (719) 523-6628 |
NPI Number | 1669565677 |
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Provider Enumeration Date | 10/02/2006 |
Last Update Date | 04/21/2021 |
Medicare PECOS PAC ID | 6204725138 |
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Medicare Enrollment ID | O20041215000137 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669565677 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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