Active NPI
West Custer County Hospital District
- Rural Health Clinic/Center
- Westcliffe, CO
National Provider Identifier
1689672255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- License
- 0178
- Legal business name
- WEST CUSTER COUNTY HOSPITAL DISTRICT
- Practice address
- 704 Edwards Ave
Westcliffe, CO 81252-8588 - Phone
- (719) 783-2380
- Fax
- (719) 783-2377
- NPI assigned
- Jul 8, 2005
- Organization subpart
- Yes
- Parent organization
- WEST CUSTER COUNTY HOSPITAL DISTRICT
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Theresa Kennedy
- Title
- Chief Financial Officer
- Phone
- (719) 783-2380
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | 0178 | CO | Primary |
Addresses
Primary practice location
704 Edwards Ave
Westcliffe, CO 81252-8588
Mailing address
704 Edwards Ave
Westcliffe, CO 81252-8588
Phone (719) 783-2380
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05684006 | Medicaid | CO |
National Provider Directory
National Provider Directory- Part of
- W Custer County Hosp
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
3464 S Willow St
#708
Denver, CO 80231
709 Edwards St
Westcliffe, CO 81252
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Non-Pharmacy Dispensing Site
- Westcliffe, CO
- NPI 1750535266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1522972800000",
"number": "1689672255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "704 EDWARDS AVE",
"city": "WESTCLIFFE",
"state": "CO",
"postal_code": "812528588",
"telephone_number": "719-783-2380",
"fax_number": "719-783-2377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "704 EDWARDS AVE",
"city": "WESTCLIFFE",
"state": "CO",
"postal_code": "812528588",
"telephone_number": "719-783-2380",
"fax_number": "719-783-2377"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST CUSTER COUNTY HOSPITAL DISTRICT",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WEST CUSTER COUNTY HOSPITAL DISTRICT",
"enumeration_date": "2005-07-08",
"last_updated": "2018-04-06",
"status": "A",
"authorized_official_last_name": "KENNEDY",
"authorized_official_first_name": "THERESA",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "719-783-2380",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": "CO",
"license": "0178",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05684006",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Westcliffe, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.