NPIMap

Organization Active NPI

St. Vincent General Hospital District

  • Medicare Defined Swing Bed Hospital Unit
  • Leadville, CO
National Provider Identifier
1891750436
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
ST. VINCENT GENERAL HOSPITAL DISTRICT
Practice address
816 W 4TH St
Leadville, CO 80461-3861
Phone
(719) 486-0230
NPI assigned
Apr 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Authorized official

Name
Andrew Dreesen
Title
Authorized Official
Phone
(719) 486-7161

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X Primary
Critical Access Hospital 282NC0060X 0185 CO
Critical Access Hospital 282NC0060X 010908 CO

Addresses

Primary practice location

816 W 4TH St
Leadville, CO 80461-3861

Mailing address

822 W 4TH St
Leadville, CO 80461-3861
Phone (719) 486-0230

Other practice location 1

822 West 4th Street
Leadville, CO 80461
Phone (719) 486-0230

Other identifiers 1

IdentifierTypeStateIssuer
05656160MedicaidCO

Other names 1

  • St. Vincent Hospital (Swing Bed) Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101122001405 CO Part A Provider - Critical Access Hospital 4587574884 Receives reassigned benefits from 1 practitioner
Practice locations: Leadville, CO

Hospital certification: CCN 06Z319

Legal name
ST. VINCENT GENERAL HOSPITAL DISTRICT
Organization structure
OtherNon-profit
Incorporated
in CO
Enrollment address
816 W 4TH St
Leadville, CO 80461-3861
Other Hospital Practice Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
St Vincent General Hospital District9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
St. Vincent General Hospital District Organization, Leadville, CO Non-profit 5% Or Greater Direct Ownership Interest Jun 25, 2013
Operational/Managerial Control Nov 22, 2010
Justin Bartlett Individual Corporate OfficerCeo Oct 6, 2025 100%
Operational/Managerial ControlCeo Oct 6, 2025 100%

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
St. Vincent General Hospital DistrictLeadville, CO, CCN 061319 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Jun 25, 2013
Nov 22, 2010
St.Vincent Family Health Center and Urgent CareLeadville, CO, CCN 068529 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Sep 10, 2020
Sep 10, 2020

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1891750436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 W 4TH ST",
            "city": "LEADVILLE",
            "state": "CO",
            "postal_code": "804613861",
            "telephone_number": "719-486-0230",
            "fax_number": "719-486-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 W 4TH ST",
            "city": "LEADVILLE",
            "state": "CO",
            "postal_code": "804613861",
            "telephone_number": "719-486-0230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "822 West 4th Street",
            "address_purpose": "LOCATION",
            "city": "Leadville",
            "state": "CO",
            "postal_code": "80461",
            "country_code": "US",
            "telephone_number": "719-486-0230",
            "fax_number": "719-486-1077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ST. VINCENT GENERAL HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "DREESEN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "719-486-7161"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "CO",
            "license": "0185",
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "CO",
            "license": "010908",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05656160",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Vincent Hospital (Swing Bed)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Vincent Hospital (Swing Bed)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leadville, CO

Sources for this page

Verify at the official NPI Registry.