SOUTHEAST COLORADO HOSPITAL DISTRICT (NPI# 1083787840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083787840 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST COLORADO HOSPITAL DISTRICT |
| Other Organization Name | BACA COUNTY HOSPICE |
| Practice Address |
200 E 10th Ave Springfield CO 81073-1621 |
| Mailing Address |
373 E 10th Ave Springfield CO 81073-1622 |
| Practice Telephone | 7195234057 |
| Practice Fax Number | 7195234575 |
| Mailing Telephone | 7195234057 |
| Mailing Fax Number | 7195234575 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2016-08-02 |
| Authorized Official Name | MR. MICHAEL E BOYLES (CEO ADMINISTRATOR) |
| Authorized Official Telephone | 7195234501 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTHEAST COLORADO HOSPITAL DISTRICT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 0332 | CO | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 05800271 | 05 |
| Other Name | Type Code |
|---|---|
| Baca County Hospice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053302695 | Southeast Colorado Hospital District | Nursing Facility/Intermediate Care Facility | 373 East 10th Avenue, Springfield, CO 81073-1622 | 2005-11-02 |
| 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 |
200 E 10TH AVE |
| City | SPRINGFIELD |
| State | CO |
| Zip Code | 81073-1621 |
| 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 |
| 1922176643 | Staci Faye Bishop | Physician Assistant | 373 East 10th Avenue, Springfield, CO 81073-0000 | 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 |
| Find all providers in zip 81073 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023513058 | Prospect Crozer Home Health and Hospice, LLC | Hospice Care, Community Based | 200 W. Sroul Road, Springfield, PA 19064 | 2018-03-30 |
| 1215391065 | Great Lakes Caring Hospice C Il, LLC | Hospice Care, Community Based | 3085 Stevenson Dr Ste 200a, Springfield, IL 62703-4440 | 2016-04-07 |
| 1811393564 | Loving Peace Hospice, Inc. | Hospice Care, Community Based | 2815 Old Jacksonville Rd Ste 202, Springfield, IL 62704-6419 | 2014-11-07 |
| 1245597285 | Intrepid of Missouri, Inc. | Hospice Care, Community Based | 4305 S. National Ave., Springfield, MO 65810 | 2012-04-16 |
| 1508012204 | Beacon Hospice, LLC | Hospice Care, Community Based | 815 Worcester St, Springfield, MA 01151-1001 | 2008-08-13 |
| 1720255284 | Good Shepherd Hospice of Springfield, LLC | Hospice Care, Community Based | 3250 S National Ave, Springfield, MO 65807-7303 | 2008-05-14 |
| 1710159355 | Omega Health Care of Southwest Missouri Inc | Hospice Care, Community Based | 2041 S Stewart Ave, Springfield, MO 65804-2522 | 2008-03-24 |
| 1699850180 | Northcrest Medical Center | Hospice Care, Community Based | 101e Mooreland Drive, Springfield, TN 37172-3974 | 2006-10-25 |
| 1366450504 | Hospice & Palliative Care Of | Hospice Care, Community Based | 2432 East Madrid Ave, Springfield, MO 65804 | 2006-08-04 |
| 1578500823 | Southerncare Inc | Hospice Care, Community Based | 777 E Battlefield St, Ste 104a, Springfield, MO 65807-4807 | 2006-06-02 |
| 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.