Mt Rose Health Center

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

38779 Issued in CO

Legal business name

MT ROSE HEALTH CENTER

Practice address

409 Benedicta Ave
Suite a
Trinidad, CO 81082-0000

Phone

(719) 846-8478

Fax

(719) 846-2941

NPI assigned

May 21, 2013

Last updated

May 21, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Valerie Jean Borsa, M.D.NPI 1265490676

Title

Owner

Phone

(719) 846-8478

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

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.

• Valerie Jean Borsa, M.D.

  • Internal Medicine Physician
  • Trinidad, CO
  • NPI 1265490676
  Medicare reassignment NPD Authorized official
• George H Hagen, O.D.

  • Optometrist
  • Trinidad, CO
  • NPI 1114019056
  NPD (past)

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

{
    "created_epoch": "1369094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369094400000",
    "number": "1225474901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 BENEDICTA AVE",
            "address_2": "SUITE A",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810820000",
            "telephone_number": "719-846-8478",
            "fax_number": "719-846-2941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 BENEDICTA AVE",
            "address_2": "SUITE A",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810820000",
            "telephone_number": "719-846-8478",
            "fax_number": "719-846-2941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT ROSE HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-21",
        "last_updated": "2013-05-21",
        "status": "A",
        "authorized_official_last_name": "BORSA",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-846-8478",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "CO",
            "license": "38779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monade Counseling, LLC
• Jeanette Monteleone, D.C.
• Amy Johnna Montoya, BSW/MA
• Mountain Family Wellness, LLC
• Mt Carmel Primary Care
• Mt Rose Health Center Palliative Care and Hospice Inc
• Mt. Carmel Urgent Care - Trinidad, L.L.C.
• Jesse Veris Mullins, PTA
• Leona May Myers
• Brian Nazeri, DDS

• Legal Medicine in Trinidad, CO
• Providers in Trinidad, CO by specialty
• Legal Medicine in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.