Organization Active NPI

East Morgan County Hospital

  • Rural Health Clinic/Center
  • Fort Morgan, CO
National Provider Identifier
1003327107
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
EAST MORGAN COUNTY HOSPITAL
Practice address
909 E Railroad Ave
Fort Morgan, CO 80701-3301
Phone
(970) 542-4700
Fax
(970) 542-4710
NPI assigned
Oct 16, 2017
Organization subpart
Yes
Parent organization
BANNER HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Linda Thorpe
Title
Ceo
Phone
(602) 747-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

909 E Railroad Ave
Fort Morgan, CO 80701-3301

Mailing address

2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702

Other names 1

  • Banner Health Clinic Fort Morgan Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171130002446 CO Part A Provider - Rural Health Clinic 3274443577 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fort Morgan, CO

Rural health clinic certification: CCN 063417

Legal name
EAST MORGAN COUNTY HOSPITAL
Doing business as
BANNER HEALTH CLINIC FORT MORGAN
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Aug 6, 2018
Last certification
Jun 4, 2024
Ownership / control type
2B
Organization structure
OtherNon-profit
Enrollment address
909 E Railroad Ave
Ste 101
Fort Morgan, CO 80701-3301
Related CCNs
061303

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
M E Lee MD

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/Y62ncCuwN85GGa7s0iz44XRnQoc9qr60/

Ownership & related parties

All disclosed owners & managing parties 24

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Julie Ann Alvarado-Dubek Individual Corporate OfficerOfficer Feb 1, 2022
Marjorie J Bessel Individual Corporate OfficerOfficer Jan 1, 2018
Jean Lance Individual Corporate OfficerClo Jun 30, 2022
Staci Dickerson Individual Corporate OfficerCfo Jul 17, 2023
Carole Faig Individual Corporate DirectorBoard Member Mar 1, 2026
Linda D Thorpe Individual Corporate OfficerHospital Ceo Feb 20, 2012
W-2 Managing EmployeeHospital Ceo Feb 20, 2012
Paris Labruzzo Individual Corporate DirectorSr Director Dec 7, 2022
W-2 Managing Employee Dec 7, 2022
Dean M Harrison Individual Corporate DirectorBoard Member Sep 1, 2023
Anne Mariucci Individual Corporate DirectorBoard Member Mar 1, 2015
Sujata Gosalia Individual Corporate DirectorDirector Sep 1, 2018
Brenda a Schaefer Individual Corporate OfficerTreasurer Mar 6, 2017
Quentin P Smith Individual Corporate DirectorBoard Member Sep 1, 1999
Vicki Keiser Individual Corporate DirectorDirector Jun 1, 2017
Holly Gregory Individual Corporate DirectorSr Manager Jul 24, 2020
W-2 Managing Employee Jul 24, 2020
Sara Ward Individual Corporate DirectorBoard Member Sep 1, 2023
Michael L Butler Individual Corporate DirectorBoard Member Sep 1, 2025
Mary Schubert Individual Corporate OfficerAssistant Secretary Jan 1, 2024
Amy Perry Individual Corporate OfficerOfficer Nov 1, 2021
Rick Myers Individual Corporate DirectorDirector Sep 1, 2023
John F Koster Individual Corporate DirectorBoard Member Dec 11, 2015
Mark Wallace Individual Corporate DirectorDirector Sep 1, 2021
Christopher H Volk Individual Corporate DirectorBoard Member Sep 1, 1999
Michael Garnreiter Individual Corporate DirectorBoard Member Aug 1, 2012
Banner Health Organization, Phoenix, AZ Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2018 100%
Operational/Managerial Control Jan 1, 2018 100%

Owners & managing parties with NPI records 12

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1003327107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 N CENTRAL AVE STE 160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 E RAILROAD AVE",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "807013301",
            "telephone_number": "970-542-4700",
            "fax_number": "970-542-4710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST MORGAN COUNTY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BANNER HEALTH",
        "enumeration_date": "2017-10-16",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "THORPE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-747-4000"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Banner Health Clinic Fort Morgan",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Morgan, CO

Sources for this page

Verify at the official NPI Registry.