NPIMap

Organization Active NPI

West Custer County Hospital Dist.

  • Family Medicine Physician
  • Westcliffe, CO
National Provider Identifier
1992704761
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WEST CUSTER COUNTY HOSPITAL DIST.
Practice address
740 Edwards St
Westcliffe, CO 81252-8588
Phone
(719) 783-2380
NPI assigned
Jul 14, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Toloa Pearl, RN
Title
Administrator
Phone
(719) 783-2380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X CO Primary

Addresses

Primary practice location

740 Edwards St
Westcliffe, CO 81252-8588

Mailing address

PO Box 120
Westcliffe, CO 81252-0120
Phone (719) 783-2380

Other identifiers 1

IdentifierTypeStateIssuer
04141362MedicaidCO

Other names 1

  • Custer County HCBS Other name

National Provider Directory

National Provider Directory
Tax ID family
W Custer County Hosp4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1992704761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 120",
            "city": "WESTCLIFFE",
            "state": "CO",
            "postal_code": "812520120",
            "telephone_number": "719-783-2380",
            "fax_number": "719-783-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 EDWARDS ST",
            "city": "WESTCLIFFE",
            "state": "CO",
            "postal_code": "812528588",
            "telephone_number": "719-783-2380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST CUSTER COUNTY HOSPITAL DIST.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PEARL",
        "authorized_official_first_name": "TOLOA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "719-783-2380",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04141362",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Custer County HCBS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jul 21, 2022; 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.