Conejos County Hospital Ltcu Corporation

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

CONEJOS COUNTY HOSPITAL LTCU CORPORATION

Practice address

19021 State Hwy
La Jara, CA 81140

Phone

(719) 274-6058

Fax

(719) 274-6003

NPI assigned

Mar 20, 2006

Last updated

Aug 22, 2020By 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

Ms. Brigitte Inge Foust

Title

Hippa Privacy Security Officer

Phone

(719) 274-6029

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Conejos County Hospital Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Conejos County Hospital Corporation Long Term Care Unit

  • Nursing Facility/Intermediate Care Facility
  • La Jara, CO
  • NPI 1184683278
  NPD tax ID

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447219472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19021 STATE HWY",
            "address_2": "PO BOX 639",
            "city": "LA JARA",
            "state": "CA",
            "postal_code": "81140",
            "telephone_number": "719-274-6058",
            "fax_number": "719-274-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19021 STATE HWY",
            "city": "LA JARA",
            "state": "CA",
            "postal_code": "81140",
            "telephone_number": "719-274-6058",
            "fax_number": "719-274-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONEJOS COUNTY HOSPITAL LTCU CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOUST",
        "authorized_official_first_name": "BRIGITTE",
        "authorized_official_middle_name": "INGE",
        "authorized_official_title_or_position": "HIPPA PRIVACY SECURITY OFFICER",
        "authorized_official_telephone_number": "719-274-6029",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "71885706",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.