NPIMap

Organization Active NPI

Upper San Juan Health Service District

Doing business as Pagosa Springs Medical Center

  • Land Ambulance
  • Pagosa Springs, CO
National Provider Identifier
1780727065
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
UPPER SAN JUAN HEALTH SERVICE DISTRICT
Doing business as
Pagosa Springs Medical Center
Practice address
189 N Pagosa Blvd
Pagosa Springs, CO 81147
Phone
(970) 731-3700
Fax
(970) 731-3707
NPI assigned
Feb 15, 2007
Reactivated
Mar 8, 2012
Last updated
Jun 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Authorized official

Name
Rhonda Webb, MDNPI 1598762494
Title
Ceo, Cmo
Phone
(970) 731-3700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary
Non-emergency Medical Transport (VAN) 343900000X NU

Addresses

Primary practice location

189 N Pagosa Blvd
Pagosa Springs, CO 81147

Mailing address

95 S Pagosa Blvd
Pagosa Springs, CO 81147-8329
Phone (970) 731-3700

Other identifiers 1

IdentifierTypeStateIssuer
06603138MedicaidCO

Other names 1

  • Pagosa Springs Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Upper San Juan Hosd Am5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

189 N Pagosa Blvd
Pagosa Springs, CO 81147
Phone (970) 731-3700

95 S Pagosa Blvd
Pagosa Springs, CO 81147
Phone (970) 731-3700

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1780727065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 S PAGOSA BLVD",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "811478329",
            "telephone_number": "970-731-3700",
            "fax_number": "970-731-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 N PAGOSA BLVD",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "81147",
            "telephone_number": "970-731-3700",
            "fax_number": "970-731-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER SAN JUAN HEALTH SERVICE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "deactivation_date": "2011-12-20",
        "reactivation_date": "2012-03-08",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "CEO, CMO",
        "authorized_official_telephone_number": "970-731-3700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06603138",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pagosa Springs Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pagosa Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.