NPIMap

Organization Active NPI

Salida Hospital District

Doing business as HRRMC Pharmacy

  • Community/Retail Pharmacy
  • Salida, CO
National Provider Identifier
1427601848
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SALIDA HOSPITAL DISTRICT
Doing business as
HRRMC Pharmacy
Practice address
1000 Rush Dr
Salida, CO 81201-9627
Phone
(719) 530-2401
NPI assigned
Jul 24, 2019
Last updated
Jul 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 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
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

1000 Rush Dr
Salida, CO 81201-9627

Mailing address

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

Other names 1

  • HRRMC Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200813002024 CO Part B Supplier - Mass Immunization (Roster Biller Only) 3577451152 1 other NPI on this enrollment
Practice locations: Westcliffe, CO; Salida, CO

Other NPIs with the same Medicare PAC ID 8

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

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Salida Hospital District12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Ownership & related parties

All facility ownership & control disclosures 8

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

FacilityTypeRoleSince
Heart of the Rockies Regional Medical CenterSalida, CO, CCN 061322 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Apr 1, 2008
Apr 1, 2008
Heart of the Rockies Regional Medical CenterSalida, CO, CCN 06Z322 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Apr 1, 2008
Apr 1, 2008
Enhabit Home Health & HospiceSalida, CO, CCN 067136 Home health agency 5% Or Greater Direct Ownership Interest (50%) Sep 1, 2007
Enhabit Home Health & HospiceSalida, CO, CCN 061525 Hospice 5% Or Greater Direct Ownership Interest (50%) Sep 1, 2007
Buena Vista Health CenterBuena Vista, CO, CCN 063986 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Oct 1, 2011
Oct 1, 2011
Saguache Health CenterSaguache, CO, CCN 063419 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Sep 26, 2019
Sep 26, 2019
Salida Health CenterSalida, CO, CCN 063418 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Sep 11, 2019
Sep 11, 2019
Custer County Health CenterWestcliffe, CO, CCN 063422 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Dec 17, 2019
Dec 17, 2019

Owned or controlled facilities with NPI records 9

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

NPI Registry JSON

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563926400000",
    "number": "1427601848",
    "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": "1000 RUSH DR",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812019627",
            "telephone_number": "719-530-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALIDA HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-24",
        "last_updated": "2019-07-24",
        "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": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HRRMC Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salida, CO

Sources for this page

Verify at the official NPI Registry.