NPIMap

Organization Active NPI

Salida Hospital District

Doing business as Heart of The Rockies Regional Medical Center

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Buena Vista, CO
National Provider Identifier
1962859470
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
010628 Issued in CO
Legal business name
SALIDA HOSPITAL DISTRICT
Doing business as
Heart of The Rockies Regional Medical Center
Practice address
28374 County Road 317
Buena Vista, CO 81211-9158
Phone
(719) 395-9048
Fax
(719) 395-9064
NPI assigned
May 16, 2016
Last updated
May 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2016

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

Authorized official

Name
Mrs. Lesley J Fagerberg
Title
VP Finance
Phone
(719) 530-2213

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 010628 CO
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 010628 CO Primary

Addresses

Primary practice location

28374 County Road 317
Buena Vista, CO 81211-9158

Mailing address

PO Box 429
Salida, CO 81201-0429
Phone (719) 530-2048

Other names 1

  • 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
O20040413000292 CO Part B Supplier - Clinic/Group Practice 3577451152 Receives reassigned benefits from 206 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Salida, CO; Westcliffe, CO; Saguache, CO; Fairplay, CO; Buena Vista, CO

Other NPIs on the same Medicare enrollment 12

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

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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": "1463356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1962859470",
    "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": "719-530-2048",
            "fax_number": "719-530-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28374 COUNTY ROAD 317",
            "city": "BUENA VISTA",
            "state": "CO",
            "postal_code": "812119158",
            "telephone_number": "719-395-9048",
            "fax_number": "719-395-9064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALIDA HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-16",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "FAGERBERG",
        "authorized_official_first_name": "LESLEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "719-530-2213",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CO",
            "license": "010628",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CO",
            "license": "010628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heart of The Rockies Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buena Vista, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; 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.