SOUTHEAST COLORADO HOSPITAL DISTRICT (NPI# 1053302695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053302695 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST COLORADO HOSPITAL DISTRICT |
| Practice Address |
373 East 10th Avenue Springfield CO 81073-1622 |
| Practice Telephone | 7195234501 |
| Practice Fax Number | 7195234290 |
| Mailing Telephone | 7195234501 |
| Mailing Fax Number | 7195234290 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2013-05-01 |
| Authorized Official Name | SHARON TATE (DIRECTOR OF NURSING LTCC) |
| Authorized Official Telephone | 7195234501 |
| Authorized Official Credential | BSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 06A185 | CO | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 05655543 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083787840 | Southeast Colorado Hospital District | Hospice Care, Community Based | 200 E 10th Ave, Springfield, CO 81073-1621 | 2006-11-17 |
| 1669565677 | Southeast Colorado Hospital District | Clinic/Center | 900 Church St, Springfield, CO 81073-1636 | 2006-10-02 |
| 1285727297 | Southeast Colorado Hospital District | Medicare Defined Swing Bed Unit | 373 E 10th Ave, Springfield, CO 81073-1622 | 2006-10-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SOUTHEAST COLORADO HOSPITAL DISTRICT | 373 E 10th Ave, Springfield, CO 81073-1622 |
| Street Address |
373 EAST 10TH AVENUE |
| City | SPRINGFIELD |
| State | CO |
| Zip Code | 81073-1622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922176643 | Staci Faye Bishop | Physician Assistant | 373 East 10th Avenue, Springfield, CO 81073-0000 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124031190 | County Commissioners of Baca | Public Health or Welfare | 741 Main Street, Suite #4, Springfield, CO 81073 | 2006-08-14 |
| 1609944313 | Antonio S Manalo | Family Medicine | 900 Church St, Springfield, CO 81073 | 2006-12-01 |
| 1699253989 | Baca Home Care Agency, Inc | Adult Companion | 681 W 5th Ave, Springfield, CO 81073-1208 | 2018-07-30 |
| 1316107972 | Leeanna Turner | Registered Nurse | 700 Colorado St, Springfield, CO 81073-1425 | 2008-06-16 |
| 1225340060 | Chambrey Ann Johnson | Occupational Therapist | 900 Hill St, Springfield, CO 81073-1435 | 2010-07-09 |
| 1457472086 | Baca County Department of Social Services | Case Manager/Care Coordinator | 772 Colorado St, Suite 1, Springfield, CO 81073-1456 | 2007-04-02 |
| 1548704729 | Baca County Department of Social Services | Case Management | 772 Colorado St, Suite 1, Springfield, CO 81073-1456 | 2016-12-07 |
| 1740489947 | Baca County Department of Social Services | Case Management | 772 Colorado St, Suite 1, Springfield, CO 81073-1456 | 2007-07-17 |
| 1922250976 | County Commissioners of Baca | Registered Nurse | 741 Main St, Suite #4, Springfield, CO 81073-1548 | 2008-10-21 |
| 1194191288 | Jessami Caddick | Registered Nurse | 741 Main St, 4, Springfield, CO 81073-1548 | 2015-08-12 |
| Find all providers in zip 81073 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740463074 | St. Joseph's Home of Springfield | Nursing Facility/Intermediate Care Facility | 3306 S 6th Street Rd, Springfield, IL 62703-4735 | 2007-12-10 |
| 1659497774 | Oak Terrace Healthcare Center, Inc. | Nursing Facility/Intermediate Care Facility | 1750 W Washington St, Springfield, IL 62702-4759 | 2007-03-21 |
| 1750468237 | Springfield Health Care Operating Company, LLC | Nursing Facility/Intermediate Care Facility | 404 E. Mccreight Ave., Springfield, OH 45503 | 2006-11-01 |
| 1932183134 | Christian Care Center of Springfield LLC | Nursing Facility/Intermediate Care Facility | 704 5th Ave E, Springfield, TN 37172-2604 | 2005-12-01 |
| 1902804305 | Springfield Terrace, Ltd | Nursing Facility/Intermediate Care Facility | 525 S Martin Luther King Jr Dr, Springfield, IL 62703-1317 | 2005-07-08 |
| 1114272374 | Select Rehab | Nursing Facility/Intermediate Care Facility | 1707 W Elfindale St, Springfield, MO 65807-1246 | 2012-07-13 |
| 1053627448 | Springfield Care Center, LLC | Nursing Facility/Intermediate Care Facility | 525 S Martin Luther King Jr Dr, Springfield, IL 62703-1317 | 2010-08-24 |
| 1598905838 | Springfield Healthcare Group Inc | Nursing Facility/Intermediate Care Facility | 404 E Mccreight Ave, Springfield, OH 45503-3653 | 2009-02-26 |
| 1538379581 | Memorial Medical Center | Nursing Facility/Intermediate Care Facility | 701 N 1st St, Springfield, IL 62702-3757 | 2007-05-22 |
| 1245447762 | Nancy M Paquette | Nursing Facility/Intermediate Care Facility | 136 William St, Springfield, MA 01105-2324 | 2007-05-16 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 81073 |
Please comment or provide details below to improve the information on SOUTHEAST COLORADO HOSPITAL DISTRICT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.