NPIMap

Organization Active NPI

Salida Hospital District

Doing business as HRRMC Salida Family Medicine

  • Family Medicine Physician
  • Cotopaxi, CO
National Provider Identifier
1295389328
Registry record updated Jul 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SALIDA HOSPITAL DISTRICT
Doing business as
HRRMC Salida Family Medicine
Practice address
20180 US Highway 50
Cotopaxi, CO 81223-8724
Phone
(719) 530-2000
NPI assigned
Jul 26, 2019
Last updated
Jul 26, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2019

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

Authorized official

Name
Lesley Fagerberg
Title
Vice President Finance
Phone
(719) 530-2213

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

20180 US Highway 50
Cotopaxi, CO 81223-8724

Mailing address

PO Box 429
Salida, CO 81201-0429
Phone (719) 530-2213

Other names 1

  • HRRMC Salida Family Medicine Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040413000292 CO Part B Supplier - Clinic/Group Practice 3577451152 Receives reassigned benefits from 206 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Salida, CO; Westcliffe, CO; Saguache, CO; Fairplay, CO; Buena Vista, CO

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1564099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564099200000",
    "number": "1295389328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 429",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812010429",
            "telephone_number": "719-530-2213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20180 US HIGHWAY 50",
            "city": "COTOPAXI",
            "state": "CO",
            "postal_code": "812238724",
            "telephone_number": "719-530-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALIDA HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-26",
        "last_updated": "2019-07-26",
        "status": "A",
        "authorized_official_last_name": "FAGERBERG",
        "authorized_official_first_name": "LESLEY",
        "authorized_official_title_or_position": "VICE PRESIDENT FINANCE",
        "authorized_official_telephone_number": "719-530-2213"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HRRMC Salida Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cotopaxi, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; 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.