NPIMap

Organization Active NPI

Haxtun Hospital District

  • Medicare Defined Swing Bed Hospital Unit
  • Haxtun, CO
National Provider Identifier
1033374756
Registry record updated Feb 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
010112 Issued in CO
Legal business name
HAXTUN HOSPITAL DISTRICT
Practice address
235 W Fletcher
Haxtun, CO 80731-2737
Phone
(970) 774-6123
Fax
(970) 774-6158
NPI assigned
Jul 22, 2008
Last updated
Feb 10, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
HAXTUN HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 10, 2017

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

Authorized official

Name
Mr. Larry Edward Schrage
Title
Ceo
Phone
(970) 774-6301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 010112 CO Primary

Addresses

Primary practice location

235 W Fletcher
Haxtun, CO 80731-2737

Mailing address

235 W Fletcher
Haxtun, CO 80731-2737
Phone (970) 774-6123

Other identifiers 1

IdentifierTypeStateIssuer
86171283MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Haxtun Community Hospit5 organizations share this tax ID, including this one
Part of
Haxtun Community Hospit

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14566/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486684800000",
    "number": "1033374756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 W FLETCHER",
            "city": "HAXTUN",
            "state": "CO",
            "postal_code": "807312737",
            "telephone_number": "970-774-6123",
            "fax_number": "970-774-6158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 W FLETCHER",
            "city": "HAXTUN",
            "state": "CO",
            "postal_code": "807312737",
            "telephone_number": "970-774-6123",
            "fax_number": "970-774-6158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAXTUN HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HAXTUN HOSPITAL DISTRICT",
        "enumeration_date": "2008-07-22",
        "last_updated": "2017-02-10",
        "status": "A",
        "authorized_official_last_name": "SCHRAGE",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "970-774-6301",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "CO",
            "license": "010112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "86171283",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haxtun, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.