NPIMap

Organization Active NPI

Animas Surgical Hospital, LLC

  • Community Health Clinic/Center
  • Durango, CO
National Provider Identifier
1174117394
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
ANIMAS SURGICAL HOSPITAL, LLC
Practice address
575 Rivergate
Durango, CO 81301-7487
Phone
(970) 247-3537
Fax
(970) 247-1254
NPI assigned
Feb 28, 2021
Last updated
Feb 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Authorized official

Name
Jennifer Boyd Baldock
Title
Officer and Authorized Official
Phone
(615) 234-5954

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

575 Rivergate
Durango, CO 81301-7487

Mailing address

6128 S Lyncrest Ave
Sioux Falls, SD 57108-2560
Phone (888) 955-0501

Other names 1

  • Mobile Vaccination Clinic Other name

National Provider Directory

National Provider Directory
Tax ID family
Animas Surgical Hospital LL6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/5e345d7e-ad6a-4acc-afd2-8a8d30a43ef2/

NPI Registry JSON

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

{
    "created_epoch": "1614470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675814400000",
    "number": "1174117394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6128 S LYNCREST AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082560",
            "telephone_number": "888-955-0501",
            "fax_number": "605-274-6186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 RIVERGATE",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017487",
            "telephone_number": "970-247-3537",
            "fax_number": "970-247-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANIMAS SURGICAL HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-28",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "BALDOCK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "BOYD",
        "authorized_official_title_or_position": "OFFICER AND AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-234-5954"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobile Vaccination Clinic",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Mobile Vaccination Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.