NPIMap

Organization Active NPI

Upper San Juan Health Service District

  • Critical Access Hospital
  • Pagosa Springs, CO
National Provider Identifier
1245401561
Registry record updated Nov 5, 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
Practice address
95 S Pagosa Blvd
Pagosa Springs, CO 81147-8329
Phone
(970) 731-3700
Fax
(970) 731-3707
NPI assigned
Mar 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Authorized official

Name
Rhonda Webb, MD
Title
Ceo, Cmo
Phone
(970) 731-3700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X Primary

Addresses

Primary practice location

95 S Pagosa Blvd
Pagosa Springs, CO 81147-8329

Mailing address

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

Other practice location 1

75 S Pagosa Blvd
Pagosa Springs, CO 81147-7910
Phone (970) 731-3700

Other identifiers 1

IdentifierTypeStateIssuer
16455576MedicaidCO

Other names 1

  • Pagosa Springs Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080728000382 CO Part A Provider - Critical Access Hospital 2769571892 Receives reassigned benefits from 57 practitioners
Practice locations: Pagosa Springs, CO

Hospital certification: CCN 061328

Legal name
UPPER SAN JUAN HEALTH SERVICE DISTRICT
Doing business as
PAGOSA SPRINGS MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Sep 16, 2008
Last certification
Jun 26, 2024
Beds
11
Ownership / control type
Hospital district or authority
Organization structure
GovernmentNon-profit
Enrollment address
95 S Pagosa Blvd
Pagosa Springs, CO 81147-8329
Other Hospital Practice Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Pagosa Springs Medical CenterCCN 061328
Type
Critical Access Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Upper San Juan Hosd Am5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

95 S Pagosa Blvd
Ste 1
Pagosa Springs, CO 81147

Interoperability endpoints

  • Direct secure messaging: jasonwallace@psmedicalcenter.cernerdirect.com
  • Direct secure messaging: aaronsingh1@psmedicalcenter.cernerdirect.com
  • Direct secure messaging: brittianynewsome@psmedicalcenter.cernerdirect.com
  • Direct secure messaging: kaelaleskovar@psmedicalcenter.cernerdirect.com
  • Direct secure messaging: roytinguely@psmedicalcenter.cernerdirect.com
  • Direct secure messaging: juliebuchner@psmedicalcenter.cernerdirect.com
  • Direct secure messaging: marcia.newth@psmedicalcenter.cernerdirect.com
  • Direct secure messaging: calvinnewsome@psmedicalcenter.cernerdirect.com
  • Direct secure messaging: ryanstophermitchell@psmedicalcenter.cernerdirect.com
  • Direct secure messaging: kellycesary@psmedicalcenter.cernerdirect.com
  • Direct secure messaging: roblambert@psmedicalcenter.cernerdirect.com
  • Direct secure messaging: billwebb@psmedicalcenter.cernerdirect.com
  • Direct secure messaging: briansmith@psmedicalcenter.cernerdirect.com
  • Direct secure messaging: johnaucoin@psmedicalcenter.cernerdirect.com
  • Direct secure messaging: phillipzappone@psmedicalcenter.cernerdirect.com
  • Direct secure messaging: corinnereed@psmedicalcenter.cernerdirect.com

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Michelle Keplinger Individual Corporate OfficerCfo Apr 30, 2018
Corporate DirectorCfo Apr 30, 2018
Upper San Juan Health Service District Organization, Pagosa Springs, CO Operational/Managerial Control Aug 30, 1984
Rhonda P Webb Individual Corporate OfficerCeo, Cmo Jan 1, 2018
Ann Bruzzese Individual Corporate OfficerCao Feb 1, 2015
Corporate DirectorCao Feb 1, 2015
W-2 Managing EmployeeAd; Feb 1, 2015

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Pagosa Springs Medical CenterPagosa Springs, CO, CCN 068509 Rural health clinic 5% Or Greater Direct Ownership Interest Jul 1, 2009

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 63

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 63

Affiliated clinicians 144

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 144

NPI Registry JSON

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1245401561",
    "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",
            "fax_number": "970-731-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 S PAGOSA BLVD",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "811478329",
            "telephone_number": "970-731-3700",
            "fax_number": "970-731-3707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 S Pagosa Blvd",
            "address_purpose": "LOCATION",
            "city": "Pagosa Springs",
            "state": "CO",
            "postal_code": "811477910",
            "country_code": "US",
            "telephone_number": "970-731-3700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UPPER SAN JUAN HEALTH SERVICE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "CEO, CMO",
        "authorized_official_telephone_number": "970-731-3700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16455576",
            "state": "CO"
        }
    ],
    "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

Verify at the official NPI Registry.