ST. VINCENT GENERAL HOSPITAL DISTRICT NPI 1093135063

NPI Information

ST. VINCENT GENERAL HOSPITAL DISTRICT is a rural health clinic center in Leadville, CO. ST. VINCENT GENERAL HOSPITAL DISTRICT NPI is 1093135063. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As St. Vincent Medical Clinic.

The provider's business location address is:

822 W 4TH ST
LEADVILLE, CO
ZIP 80461-861
Phone: (719) 486-1264
Fax: (719) 486-7145

The provider's authorized official is Janet Accomando Petty .
The authorized official title is Revenue Cycle Dir and has the following contact phone number (719) 486-0230.

The CLIA number assigned to this NPI record is 06D0515599 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/17/2014 and was last updated on 1/30/2019.

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:

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