NPIMap

Organization Active NPI

Trinidad Area Health Association

Doing business as Mt. San Rafael Hospital

  • Emergency Care Clinic/Center
  • Trinidad, CO
National Provider Identifier
1841870623
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
Legal business name
TRINIDAD AREA HEALTH ASSOCIATION
Doing business as
Mt. San Rafael Hospital
Practice address
410 Benedicta Ave
Trinidad, CO 81082-2005
Phone
(719) 845-3168
Fax
(719) 846-3370
NPI assigned
Apr 14, 2021
Last updated
Apr 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Authorized official

Name
Kathy Rose Topping
Title
PFS Director
Phone
(719) 845-3168

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X Primary

Addresses

Primary practice location

410 Benedicta Ave
Trinidad, CO 81082-2005

Mailing address

410 Benedicta Ave
Trinidad, CO 81082-2005
Phone (719) 845-3168

Other identifiers 1

IdentifierTypeStateIssuer
1184616740MedicaidCO

Other names 1

  • Mt. San Rafael Hospital Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Trinidad Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Tax ID family
Mt San Rafael Hosp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 3

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": "1618358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1841870623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 BENEDICTA AVE",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810822005",
            "telephone_number": "719-845-3168",
            "fax_number": "719-846-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 BENEDICTA AVE",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810822005",
            "telephone_number": "719-845-3168",
            "fax_number": "719-846-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINIDAD AREA HEALTH ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A",
        "authorized_official_last_name": "TOPPING",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "PFS DIRECTOR",
        "authorized_official_telephone_number": "719-845-3168"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184616740",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Trinidad",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "410 Benedicta Ave",
            "city": "Trinidad",
            "state": "CO",
            "country_code": "US",
            "postal_code": "810822005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mt. San Rafael Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Trinidad, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.