Organization Active NPI

Mercy Regional Medical Center of Durango

  • Occupational Medicine Physician
  • Durango, CO
National Provider Identifier
1992995716
Registry record updated May 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
0700 Issued in CO
Legal business name
MERCY REGIONAL MEDICAL CENTER OF DURANGO
Practice address
1010 Three Springs Blvd
Durango, CO 81301-8296
Phone
(970) 764-3850
Fax
(970) 764-3858
NPI assigned
Jul 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2008

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

Authorized official

Name
Kirk A Dignum
Title
Ceo/President
Phone
(970) 247-4311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2083X0100X 0700 CO Primary

Addresses

Primary practice location

1010 Three Springs Blvd
Durango, CO 81301-8296

Mailing address

1010 Three Springs Blvd
Durango, CO 81301-8296
Phone (970) 764-3850

Other names 1

  • Mercy Center for Occupational Medicine Other name

National Provider Directory

National Provider Directory
Tax ID family
Mercy Hospital Pharmacy5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

810 E 3rd St
Ste 202
Durango, CO 81301
Phone (970) 764-9850

810 E 3rd St
#202
Durango, CO 81301

Ownership & related parties

Subparts reporting this organization as parent 4

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1992995716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 THREE SPRINGS BLVD",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813018296",
            "telephone_number": "970-764-3850",
            "fax_number": "970-764-3858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 THREE SPRINGS BLVD",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813018296",
            "telephone_number": "970-764-3850",
            "fax_number": "970-764-3858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY REGIONAL MEDICAL CENTER OF DURANGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "DIGNUM",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "970-247-4311"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CO",
            "license": "0700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Center for Occupational Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.