NPIMap

Organization Active NPI

Salida Hospital District

Doing business as Custer County Health Center Pharmacy

  • Community/Retail Pharmacy
  • Westcliffe, CO
National Provider Identifier
1851072565
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SALIDA HOSPITAL DISTRICT
Doing business as
Custer County Health Center Pharmacy
Heart of the Rockies Regional Medical Center
Practice address
704 Edwards Ave
Westcliffe, CO 81252-8835
Phone
(719) 783-2380
NPI assigned
Jul 26, 2023
Last updated
Aug 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Authorized official

Name
Karen S Miller
Title
Cfo
Phone
(719) 530-2213

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

704 Edwards Ave
Westcliffe, CO 81252-8835

Mailing address

PO Box 429
Salida, CO 81201-0429
Phone (719) 530-2213

Other names 2

  • Custer County Health Center Pharmacy Doing business as
  • Heart of the Rockies Regional Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200813002024 CO Part B Supplier - Mass Immunization (Roster Biller Only) 3577451152 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Westcliffe, CO; Salida, CO

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Heart of the Rockies Re12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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": "1690329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1851072565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 429",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812010429",
            "telephone_number": "719-530-2213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 EDWARDS AVE",
            "city": "WESTCLIFFE",
            "state": "CO",
            "postal_code": "812528835",
            "telephone_number": "719-783-2380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALIDA HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-26",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "719-530-2213"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Custer County Health Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heart of the Rockies Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westcliffe, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.