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TRINIDAD AREA HEALTH ASSOCIATION NPI 1184616740


NPI Information

NPI: 1184616740
Provider Name: TRINIDAD AREA HEALTH ASSOCIATION

Doing Business As: MT. SAN RAFAEL HOSPITAL

Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

CLIA Number: 06D1047432

Address:
410 BENEDICTA AVE
TRINIDAD, CO
ZIP 81082
Phone: (719) 846-9213
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TRINIDAD AREA HEALTH ASSOCIATION is a critical access general acute care hospital in Trinidad, CO. TRINIDAD AREA HEALTH ASSOCIATION NPI is 1184616740. The provider is registered as an organization entity type.
The provider Is Doing Business As Mt. San Rafael Hospital.

The provider's business location address is:

410 BENEDICTA AVE
TRINIDAD, CO
ZIP 81082-005
Phone: (719) 846-9213
Fax: (719) 845-4243

The provider's authorized official is Kathy Topping .
The authorized official title is Pfs Director and has the following contact phone number (719) 845-3168.

The CLIA number assigned to this NPI record is 06D1047432 - rural health clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/19/2005 and was last updated on 1/6/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1282NC0060XGeneral Acute Care HospitalCritical AccessNo
2282NC0060XGeneral Acute Care HospitalCritical Access0.107.04COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
105033006MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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