NPIMap

Organization Active NPI

St. Vincent General Hospital District

  • Multi-Specialty Clinic/Center
  • Leadville, CO
National Provider Identifier
1578201638
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
ST. VINCENT GENERAL HOSPITAL DISTRICT
Practice address
816 W 4TH St
Leadville, CO 80461-3861
Phone
(828) 260-0476
Fax
(719) 486-1077
NPI assigned
May 26, 2022
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
Andrew Dreesen
Title
Authorized Official
Phone
(719) 486-7161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

816 W 4TH St
Leadville, CO 80461-3861

Mailing address

816 W 4TH St
Leadville, CO 80461-3861
Phone (828) 260-0476

Other names 1

  • St. Vincent Health Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D0644384St Vincent Health Laboratory Services816 W 4TH St, Leadville, CO 80461AccreditationDec 16, 2027

National Provider Directory

National Provider Directory
Tax ID family
St Vincent General Hospital District9 organizations share this tax ID, including this one
Part of
St Vincent General Hospital District

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1578201638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 W 4TH ST",
            "city": "LEADVILLE",
            "state": "CO",
            "postal_code": "804613861",
            "telephone_number": "828-260-0476",
            "fax_number": "719-486-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 W 4TH ST",
            "city": "LEADVILLE",
            "state": "CO",
            "postal_code": "804613861",
            "telephone_number": "828-260-0476",
            "fax_number": "719-486-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. VINCENT GENERAL HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. VINCENT GENERAL HOSPITAL DISTRICT",
        "enumeration_date": "2022-05-26",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "DREESEN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "719-486-7161"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Vincent Health",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "St. Vincent Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Leadville, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.