Conejos County Hospital Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CONEJOS COUNTY HOSPITAL CORPORATION

Practice address

509 Main Street
La Jara, CO 81140

Phone

(719) 274-5000

Fax

(719) 274-4111

NPI assigned

Mar 31, 2006

Last updated

Feb 17, 2009By 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

Mr. Thomas Newton Henton

Title

Administrator

Phone

(719) 274-6004

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234828800000",
    "number": "1376504092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 MAIN STREET",
            "city": "LA JARA",
            "state": "CO",
            "postal_code": "81140",
            "telephone_number": "719-274-5000",
            "fax_number": "719-274-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 MAIN STREET",
            "city": "LA JARA",
            "state": "CO",
            "postal_code": "81140",
            "telephone_number": "719-274-5000",
            "fax_number": "719-274-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONEJOS COUNTY HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-31",
        "last_updated": "2009-02-17",
        "status": "A",
        "authorized_official_last_name": "HENTON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "NEWTON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "719-274-6004",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40926834",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kalee Ann Chavez-Miller, NP
• Margaret Chavez, DDS
• Lou Ann Cheslock Skinner, RN
• Conejos County Government (Conejos County EMS)
• Conejos County Government (Conejos County EMS)
• Conejos County Hospital Corporation (Long Term Care Unit)
• Conejos County Hospital Corporation Long Term Care Unit
• Conejos County Public Health and Nursing Services (Conejos County Nursing Service)
• Marilyn Gay Crowther
• Healthone Clinic Services - Orthopedic Specialists LLC

• Family Medicine Physician in La Jara, CO
• Providers in La Jara, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; 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.