EAST PHILLIPS COUNTY HOSPITAL DISTRICT (NPI# 1356842652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356842652 |
| Entity Type | Organization |
| Organization Name | EAST PHILLIPS COUNTY HOSPITAL DISTRICT |
| Other Organization Name | MELISSA MEMORIAL HOSPITAL |
| Practice Address |
1001 E Johnson St Holyoke CO 80734-1854 |
| Practice Telephone | 9708542241 |
| Practice Fax Number | 9708543887 |
| Mailing Telephone | 9708542241 |
| Mailing Fax Number | 9708543887 |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2018-02-22 |
| Authorized Official Name | MR. TRAMPAS HUTCHES (CEO) |
| Authorized Official Telephone | 9708542241 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3416L0300X |
Ambulance Specialization: Land Transport |
969CEE | CO | Transportation Services |
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
848UQU | CO | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | LICENSE | 969CEE | 01 |
| CO | LICENSE | 848UQU | 01 |
| Other Name | Type Code |
|---|---|
| Melissa Memorial Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386705978 | East Phillips County Hospital District | Physical Therapist | 1001 E. Johnson Street, Holyoke, CO 80734-1500 | 2006-12-13 |
| 1891733879 | East Phillips County Hospital District | General Acute Care Hospital | 1001 E Johnson Street, Holyoke, CO 80734-1854 | 2006-06-03 |
| 1235624990 | East Phillips County Hospital District | Dentist | 1001 E Johnson St, Holyoke, CO 80734-1854 | 2018-06-26 |
| 1265971006 | East Phillips County Hospital District | Optometrist | 1001 E Johnson St, Holyoke, CO 80734-1854 | 2017-02-13 |
| 1962944801 | East Phillips County Hospital District | Nurse Anesthetist, Certified Registered | 1001 E Johnson St, Holyoke, CO 80734-1854 | 2016-11-09 |
| 1861940439 | East Phillips County Hospital District | Pharmacy | 1001 E Johnson St, Holyoke, CO 80734-1854 | 2016-09-13 |
| 1912915893 | East Phillips County Hospital District | Medicare Defined Swing Bed Unit | 1001 E Johnson Street, Holyoke, CO 80734-1854 | 2006-08-04 |
| 1073520375 | East Phillips County Hospital District | Clinic/Center | 1001 E Johnson Street, Holyoke, CO 80734-1854 | 2006-08-01 |
| Street Address |
1001 E JOHNSON ST |
| City | HOLYOKE |
| State | CO |
| Zip Code | 80734-1854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770553794 | Kevin James Cuccinelli | Family Medicine | 1001 E Johnson St, Holyoke, CO 80734-1854 | 2006-01-23 |
| 1972139012 | Healthone Clinic Services - Cardiovascular LLC | Internal Medicine | 1001 E Johnson St, Holyoke, CO 80734-1854 | 2020-03-20 |
| 1790315315 | Poudre Valley Medical Group, LLC | Internal Medicine | 1001 E Johnson St, Holyoke, CO 80734-1854 | 2020-01-23 |
| 1124689336 | Alexandra E Gada | Optometrist | 1001 E Johnson St, Holyoke, CO 80734-1854 | 2019-06-27 |
| 1790264745 | Arika Lanae Luedke | Dental Hygienist | 1001 E Johnson St, Holyoke, CO 80734-1854 | 2018-08-10 |
| 1235624990 | East Phillips County Hospital District | Dentist | 1001 E Johnson St, Holyoke, CO 80734-1854 | 2018-06-26 |
| 1063901460 | Derek Reed Doorn | Nurse Practitioner | 1001 E Johnson St, Holyoke, CO 80734-1854 | 2018-05-02 |
| 1265971006 | East Phillips County Hospital District | Optometrist | 1001 E Johnson St, Holyoke, CO 80734-1854 | 2017-02-13 |
| 1962944801 | East Phillips County Hospital District | Nurse Anesthetist, Certified Registered | 1001 E Johnson St, Holyoke, CO 80734-1854 | 2016-11-09 |
| 1861940439 | East Phillips County Hospital District | Pharmacy | 1001 E Johnson St, Holyoke, CO 80734-1854 | 2016-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992053706 | Sandra Mendoza Rafols | Physical Therapy Assistant | 618 S. Interocean Ave., Holyoke, CO 80734 | 2012-08-28 |
| 1952574105 | Pamida Stores Operating Co., LLC | Durable Medical Equipment & Medical Supplies | 118 South Interocean Ave, Holyoke, CO 80734 | 2008-04-09 |
| 1891935797 | Centennial Mental Health Center | Community/Behavioral Health | 115 N Campbell Ave, Holyoke, CO 80734-1003 | 2009-03-05 |
| 1851810337 | Centennial Mental Health Center, Inc. | Clinic/Center | 115 N Campbell Ave, Holyoke, CO 80734-1003 | 2017-09-15 |
| 1093113938 | Sharon Murray | Social Worker | 115 N Campbell Ave, Holyoke, CO 80734-1003 | 2014-12-09 |
| 1629484795 | Dorothy Drake | Social Worker | 115 N Campbell Ave, Holyoke, CO 80734-1003 | 2014-07-09 |
| 1932538725 | Ronnie Bahler | Social Worker | 115 N Campbell Ave, Holyoke, CO 80734-1003 | 2013-11-02 |
| 1942565296 | Jose Leon | Counselor | 115 N Campbell Ave, Holyoke, CO 80734-1003 | 2012-07-11 |
| 1831328087 | Edward Barry Winckler | Counselor | 115 N Campbell Ave, Holyoke, CO 80734-1003 | 2009-07-09 |
| 1194077560 | J&j Pharms. LLC. | Pharmacy | 112 E Carnahan St, Holyoke, CO 80734-1007 | 2012-10-10 |
| Find all providers in zip 80734 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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| 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.