NPIMap

Organization Active NPI

St. Vincent General Hospital District

Doing business as St. Vincent Family Health Center and Urgent Care

  • Rural Health Clinic/Center
  • Leadville, CO
National Provider Identifier
1467047183
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
ST. VINCENT GENERAL HOSPITAL DISTRICT
Doing business as
St. Vincent Family Health Center and Urgent Care
Practice address
822 W 4TH St
Leadville, CO 80461-3861
Phone
(719) 486-1264
NPI assigned
Mar 4, 2021
Last updated
Aug 27, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
ST. VINCENT GENERAL HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Authorized official

Name
Natalie Vogan
Title
Associate Director of Programs
Phone
(720) 434-3556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

822 W 4TH St
Leadville, CO 80461-3861

Mailing address

822 W 4TH St
Leadville, CO 80461-3861

Other names 1

  • St. Vincent Family Health Center and Urgent Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040316001421 CO Part B Supplier - Clinic/Group Practice 4587574884 Receives reassigned benefits from 54 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Leadville, CO
O20200922001566 CO Part A Provider - Rural Health Clinic 4587574884 1 other NPI on this enrollment
Practice locations: Leadville, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467047183. Details of each certification follow.

Rural health clinic certification: CCN 068529

Legal name
ST. VINCENT GENERAL HOSPITAL DISTRICT
Doing business as
ST.VINCENT FAMILY HEALTH CENTER AND URGENT CARE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Sep 22, 2022
Last certification
Sep 22, 2022
Ownership / control type
Non-profit – church related
Organization structure
GovernmentNon-profit
Incorporated
in CO
Enrollment address
822 W 4TH St
Leadville, CO 80461-3861
Related CCNs
061319

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

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

Other NPIs on the same Medicare enrollment 3

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

National Provider Directory

National Provider Directory
Part of
St Vincent GH DME

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Ruth Hart Individual W-2 Managing EmployeeManager Jan 4, 2022
St. Vincent General Hospital District Organization, Leadville, CO 5% Or Greater Direct Ownership Interest Sep 10, 2020 100%
Operational/Managerial Control Sep 10, 2020 100%
Justin Bartlett Individual Corporate OfficerCeo Oct 6, 2025 100%
Operational/Managerial ControlCeo Oct 6, 2025 100%

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
St. Vincent General Hospital DistrictLeadville, CO, CCN 061319 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Jun 25, 2013
Nov 22, 2010
St. Vincent General Hospital DistrictLeadville, CO, CCN 06Z319 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Jun 25, 2013
Nov 22, 2010

Owned or controlled facilities with NPI records 3

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

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 55

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 55

NPI Registry JSON

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1467047183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 W 4TH ST",
            "city": "LEADVILLE",
            "state": "CO",
            "postal_code": "804613861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 W 4TH ST",
            "city": "LEADVILLE",
            "state": "CO",
            "postal_code": "804613861",
            "telephone_number": "719-486-1264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. VINCENT GENERAL HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. VINCENT GENERAL HOSPITAL DISTRICT",
        "enumeration_date": "2021-03-04",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "VOGAN",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "ASSOCIATE DIRECTOR OF PROGRAMS",
        "authorized_official_telephone_number": "720-434-3556"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Vincent Family Health Center and Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leadville, CO

Sources for this page

Verify at the official NPI Registry.