Organization Active NPI

Mercy Regional Medical Center of Durango

  • Infectious Disease Physician
  • Durango, CO
National Provider Identifier
1336199082
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
MERCY REGIONAL MEDICAL CENTER OF DURANGO
Practice address
1010 Three Springs Blvd
Suite 245
Durango, CO 81301-8296
Phone
(970) 764-3810
Fax
(970) 764-3824
NPI assigned
May 12, 2006
Organization subpart
Yes
Parent organization
MERCY REGIONAL MEDICAL CENTER OF DURANGOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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

Authorized official

Name
Kirk A Dignum
Title
Ceo President
Phone
(970) 247-4311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X Primary

Addresses

Primary practice location

1010 Three Springs Blvd
Suite 245
Durango, CO 81301-8296

Mailing address

1010 Three Springs Blvd
Durango, CO 81301-8296
Phone (970) 764-3810

Other identifiers 1

IdentifierTypeStateIssuer
31251366MedicaidCO

Other names 1

  • FOUR CORNERS INFECTIOUS DISEASE & INTERNAL MEDICINE Doing business as

National Provider Directory

National Provider Directory
Part of
Mercy Hospital Pharmacy

Locations

1010 Three Springs Blvd
Ste 245
Durango, CO 81301
Phone (970) 764-3810

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1336199082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 THREE SPRINGS BLVD",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813018296",
            "telephone_number": "970-764-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 THREE SPRINGS BLVD",
            "address_2": "SUITE 245",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813018296",
            "telephone_number": "970-764-3810",
            "fax_number": "970-764-3824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY REGIONAL MEDICAL CENTER OF DURANGO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY REGIONAL MEDICAL CENTER OF DURANGO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "DIGNUM",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "970-247-4311"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31251366",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOUR CORNERS INFECTIOUS DISEASE & INTERNAL MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 14, 2008; 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.