NPIMap

Organization Active NPI

South Central Colfax County Special Hospital District

Doing business as Colfax General LTC

  • Nursing Facility/Intermediate Care Facility
  • Springer, NM
National Provider Identifier
1073749487
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
SOUTH CENTRAL COLFAX COUNTY SPECIAL HOSPITAL DISTRICT
Doing business as
Colfax General LTC
Practice address
615 Prospect Ave
Springer, NM 87747
Phone
(575) 483-3300
Fax
(575) 483-3344
NPI assigned
Jun 1, 2009
Last updated
Dec 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Authorized official

Name
Ashley Deherrera
Title
Administrator
Phone
(575) 483-3301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X NU Primary

Addresses

Primary practice location

615 Prospect Ave
Springer, NM 87747

Mailing address

615 Prospect Avenue
Springer, NM 87747
Phone (575) 483-3300

Other names 1

  • COLFAX GENERAL LTC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
South Central Colfax County Hospital District3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3427/brand/1/csg/1/fhir/r4

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1073749487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 PROSPECT AVENUE",
            "city": "SPRINGER",
            "state": "NM",
            "postal_code": "87747",
            "telephone_number": "575-483-3300",
            "fax_number": "575-483-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 PROSPECT AVE",
            "city": "SPRINGER",
            "state": "NM",
            "postal_code": "87747",
            "telephone_number": "575-483-3300",
            "fax_number": "575-483-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CENTRAL COLFAX COUNTY SPECIAL HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-01",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "DEHERRERA",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "575-483-3301"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COLFAX GENERAL LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springer, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.