Organization Active NPI

Upper San Juan Health Service District

Doing business as Pagosa Springs Medical Center

  • Critical Access Hospital
  • Pagosa Springs, CO
National Provider Identifier
1235954280
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
UPPER SAN JUAN HEALTH SERVICE DISTRICT
Doing business as
Pagosa Springs Medical Center
Practice address
75 S Pagosa Blvd
Pagosa Springs, CO 81147-7910
Phone
(970) 731-3700
NPI assigned
Nov 15, 2024
Last updated
Nov 15, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
UPPER SAN JUAN HEALTH SERVICE DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Authorized official

Name
Rhonda Perritt Webb, MDNPI 1598762494
Title
Ceo
Phone
(970) 731-3700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital Clinic/Center 261QC0050X
Critical Access Hospital 282NC0060X Primary

Addresses

Primary practice location

75 S Pagosa Blvd
Pagosa Springs, CO 81147-7910

Mailing address

95 S Pagosa Blvd
Pagosa Springs, CO 81147-8329
Phone (970) 731-3700

Other names 1

  • Pagosa Springs Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Upper San Juan Hosp Dis5 organizations share this tax ID, including this one
Part of
Upper San Juan Hosp Dis

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1731628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731628800000",
    "number": "1235954280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 S PAGOSA BLVD",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "811478329",
            "telephone_number": "970-731-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 S PAGOSA BLVD",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "811477910",
            "telephone_number": "970-731-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER SAN JUAN HEALTH SERVICE DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UPPER SAN JUAN HEALTH SERVICE DISTRICT",
        "enumeration_date": "2024-11-15",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "PERRITT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "970-731-3700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QC0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Critical Access Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pagosa Springs Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pagosa Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.