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PARK HOSPITAL DISTRICT NPI 1467581470


NPI Information

NPI: 1467581470
Provider Name: PARK HOSPITAL DISTRICT

Doing Business As: ESTES PARK HEALTH PHYSICIANS CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 06D0515891

Address:
555 PROSPECT AVE
ESTES PARK, CO
ZIP 80517
Phone: (970) 586-2200
Get Directions

PARK HOSPITAL DISTRICT is a family medicine in Estes Park, CO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PARK HOSPITAL DISTRICT NPI is 1467581470. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Estes Park Health Physicians Clinic.

The provider's business location address is:

555 PROSPECT AVE
ESTES PARK, CO
ZIP 80517
Phone: (970) 586-2200
Fax: (970) 577-4536

The provider's authorized official is Laurel Stocker Johnson .
The authorized official title is Director and has the following contact phone number (970) 577-4357.

The CLIA number assigned to this NPI record is 06D0515891 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/5/2007 and was last updated on 11/1/2021.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RA0000XInternal MedicineAdolescent MedicineDR40558COLORADONo
2207V00000XObstetrics & GynecologyCO34193COLORADONo
3208000000XPediatricsCO40219COLORADONo
4207Q00000XFamily MedicineCO37272COLORADONo
5207Q00000XFamily MedicineCO31317COLORADONo
6207Q00000XFamily Medicine36312COLORADONo
7207R00000XInternal MedicineCO38348COLORADONo
8207R00000XInternal MedicineDR47153FLORIDANo
9208600000XSurgeryDR30819COLORADONo
10208D00000XGeneral PracticeDR45845COLORADONo
11208000000XPediatricsDR31069COLORADONo
12363A00000XPhysician AssistantPA-2781COLORADONo
13208600000XSurgeryCO30789COLORADONo
14207Q00000XFamily MedicineCO36188COLORADOYes
15152W00000XOptometristDR33113COLORADONo

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
115587762MEDICAIDCOLORADO

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.