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STANTON COUNTY HOSPITAL NPI 1841525276


NPI Information

NPI: 1841525276
Provider Name: STANTON COUNTY HOSPITAL

Doing Business As: HOLLY MEDICAL CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 17D0453224

Address:
410 WEST COLORADO
HOLLY, CO
ZIP 81047
Phone: (719) 537-6042
Get Directions

STANTON COUNTY HOSPITAL is a family medicine in Holly, 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. STANTON COUNTY HOSPITAL NPI is 1841525276. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Holly Medical Clinic.

The provider's business location address is:

410 WEST COLORADO
HOLLY, CO
ZIP 81047-219
Phone: (719) 537-6042
Fax: (719) 537-6052

The provider's authorized official is James D Tusten .
The authorized official title is Ceo/administrator and has the following contact phone number (620) 492-6250.

The CLIA number assigned to this NPI record is 17D0453224 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/2/2009 and was last updated on 6/25/2013.


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
1207Q00000XFamily MedicineYes

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
1068511MEDICARE OSCAR/CERTIFICATIONCOLORADO
2PENDINGMEDICARE OSCAR/CERTIFICATIONCOLORADO

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: 11/14/2023

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