Upper San Juan Health Service District

Primary specialty

Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X

License

01Y763 Issued in CO

Legal business name

UPPER SAN JUAN HEALTH SERVICE DISTRICT

Practice address

95 S Pagosa Blvd
Pagosa Springs, CO 81147-8329

Phone

(970) 731-3700

Fax

(970) 731-3707

NPI assigned

Mar 19, 2008

Organization subpart

No

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

Authorized official

Name

Rhonda Webb, MD

Title

Ceo, Cmo

Phone

(970) 731-3700

Specialties & licenses 1

Addresses

Other names 1

• Pagosa Springs Medical Center Doing business as

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1790956571",
    "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": "95 S PAGOSA BLVD",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "811478329",
            "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": "2008-03-19",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "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": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "CO",
            "license": "01Y763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pagosa Springs Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Upper San Juan Health Service District
• Upper San Juan Health Service District
• Upper San Juan Health Service District
• Upper San Juan Health Service District
• Upper San Juan Health Service District
• August Vanderbeek, PSY D
• Anthony Eli Velasquez, M.D.
• Amanda Vincent-Schick, LPCC
• Kerri Renee Voigts, MD
• Patricia Vorhies, COTA

• All providers in Pagosa Springs, CO
• Medicare Defined Swing Bed Hospital Unit in Colorado

• 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.