Organization Active NPI

Walsh Hospital District

Doing business as Walsh Healthcare Center

  • Nursing Facility/Intermediate Care Facility
  • Walsh, CO
National Provider Identifier
1780772269
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
1002 Issued in CO
Legal business name
WALSH HOSPITAL DISTRICT
Doing business as
Walsh Healthcare Center
Practice address
150 N Nevada St
Walsh, CO 81090
Phone
(719) 324-5262
Fax
(719) 324-5266
NPI assigned
Oct 10, 2006
Last updated
Dec 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Authorized official

Name
Mrs. Rita Hetrick
Title
Administrator
Phone
(719) 324-5262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 1002 CO Primary

Addresses

Primary practice location

150 N Nevada St
Walsh, CO 81090

Mailing address

PO Box 206
Walsh, CO 81090-0206
Phone (719) 324-5262

Other identifiers 1

IdentifierTypeStateIssuer
05656343MedicaidCO

Other names 1

  • WALSH HEALTHCARE CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Walsh Hospital District5 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.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1780772269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 206",
            "city": "WALSH",
            "state": "CO",
            "postal_code": "810900206",
            "telephone_number": "719-324-5262",
            "fax_number": "719-324-5266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N NEVADA ST",
            "city": "WALSH",
            "state": "CO",
            "postal_code": "81090",
            "telephone_number": "719-324-5262",
            "fax_number": "719-324-5266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALSH HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "HETRICK",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "719-324-5262",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "CO",
            "license": "1002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05656343",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WALSH HEALTHCARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Walsh, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.