| Sedgwick County Memorial Hospital | |
|
900 Cedar St Julesburg CO 80737-1121 | |
| (970) 474-3323 | |
| (970) 474-2758 |
| Full Name | Sedgwick County Memorial Hospital |
|---|---|
| Speciality | Family Medicine |
| Location | 900 Cedar St, Julesburg, Colorado |
| Authorized Official Name and Position | David Garnas (CEO) |
| Authorized Official Contact | 9704743323 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sedgwick County Memorial Hospital 900 Cedar St Julesburg CO 80737-1121 Ph: (970) 474-3323 | Sedgwick County Memorial Hospital 900 Cedar St Julesburg CO 80737-1121 Ph: (970) 474-3323 |
| NPI Number | 1881602738 |
|---|---|
| Provider Enumeration Date | 08/04/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1052201100 |
|---|---|
| Medicare Enrollment ID | O20040326000232 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881602738 | NPI | - | NPPES |
| 05638887 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Julia Bernadine Trevino-emerson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083611727 PECOS PAC ID: 4183644156 Enrollment ID: I20051206000280 |
| Provider Name | Donald Dean Regier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164439535 PECOS PAC ID: 4981797024 Enrollment ID: I20101129000704 |
| Provider Name | Samuel Roos Sims |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063635621 PECOS PAC ID: 3173690724 Enrollment ID: I20110504000234 |
| Provider Name | Paul Val Meredith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871607341 PECOS PAC ID: 1456387380 Enrollment ID: I20170304000129 |
| Provider Name | Mandy L Shaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972682870 PECOS PAC ID: 2365490307 Enrollment ID: I20210909003929 |
| Provider Name | Cicely Baugh Hooten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073003018 PECOS PAC ID: 3971834573 Enrollment ID: I20220104001383 |
| Provider Name | Tawney Lynn Rueter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326795808 PECOS PAC ID: 3577950781 Enrollment ID: I20220418001523 |
| Provider Name | Kirsten Rasmussen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538412242 PECOS PAC ID: 8921455346 Enrollment ID: I20231107001829 |
| Provider Name | Thomas Jokerst |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245741735 PECOS PAC ID: 6901209733 Enrollment ID: I20250203001160 |
Sedgwick County Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 Cedar St, Julesburg, CO 80737 Phone: 970-474-3376 Fax: 970-474-2758 | |
Sedgwick County Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 Cedar St, Julesburg, CO 80737 Phone: 970-474-3376 Fax: 970-474-2758 | |
Family Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 Cedar St, Julesburg, CO 80737 Phone: 970-522-2264 |