Organization Active NPI

Mercy Regional Medical Center of Durango

  • Critical Care Medicine (Internal Medicine) Physician
  • Durango, CO
National Provider Identifier
1720031834
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
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 DURANGOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0200X Primary
Pulmonary Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
04015665MedicaidCO

Other names 1

  • FOUR CORNERS PULMONARY & CRITICAL CARE MEDICINE Doing business as

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.

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

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.

Verify at the official NPI Registry.