Active NPI
Mercy Regional Medical Center of Durango
- Critical Care Medicine (Internal Medicine) Physician
- Durango, CO
National Provider Identifier
1720031834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- Legal business name
- MERCY REGIONAL MEDICAL CENTER OF DURANGO
- Practice address
- 1010 Three Springs Blvd
Suite 110
Durango, CO 81301-8296 - Phone
- (970) 764-2750
- Fax
- (970) 764-2778
- NPI assigned
- May 18, 2006
- Organization subpart
- Yes
- Parent organization
- MERCY REGIONAL MEDICAL CENTER OF DURANGO
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kirk A Dignum
- Title
- Ceo President
- Phone
- (970) 247-4311
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | Primary | ||
| Pulmonary Disease Physician | 207RP1001X |
Addresses
Primary practice location
1010 Three Springs Blvd
Suite 110
Durango, CO 81301-8296
Mailing address
1010 Three Springs Blvd
Durango, CO 81301-8296
Phone (970) 247-4311
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04015665 | Medicaid | CO |
Other names 1
- FOUR CORNERS PULMONARY & CRITICAL CARE MEDICINE
National Provider Directory
National Provider Directory- Part of
- Mercy Hospital Pharmacy
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.
-
- Occupational Medicine Physician
- Durango, CO
- NPI 1992995716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200268800000",
"number": "1720031834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 THREE SPRINGS BLVD",
"city": "DURANGO",
"state": "CO",
"postal_code": "813018296",
"telephone_number": "970-247-4311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 THREE SPRINGS BLVD",
"address_2": "SUITE 110",
"city": "DURANGO",
"state": "CO",
"postal_code": "813018296",
"telephone_number": "970-764-2750",
"fax_number": "970-764-2778"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCY REGIONAL MEDICAL CENTER OF DURANGO",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MERCY REGIONAL MEDICAL CENTER OF DURANGO",
"enumeration_date": "2006-05-18",
"last_updated": "2008-01-14",
"status": "A",
"authorized_official_last_name": "DIGNUM",
"authorized_official_first_name": "KIRK",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CEO PRESIDENT",
"authorized_official_telephone_number": "970-247-4311"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RP1001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04015665",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "FOUR CORNERS PULMONARY & CRITICAL CARE MEDICINE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Durango, CO
- Mercy Regional Medical Center
- Mercy Regional Medical Center of Durango
- Mercy Regional Medical Center of Durango
- Mercy Regional Medical Center of Durango
- Mercy Regional Medical Center of Durango
- Mercy Regional Medical Center of Durango
- Mercy Regional Medical Center of Durango
- Michael Mericle, RPH
- David B Merritt, MD
- Brandon Messerli, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.