VAUGHN D JACKSON, PLLC (NPI# 1710308952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710308952 |
| Entity Type | Organization |
| Organization Name | VAUGHN D JACKSON, PLLC |
| Practice Address |
412 Main La Jara CO 81140 |
| Mailing Address |
P.o. Box 272 416 Main La Jara CO 81140 |
| Practice Telephone | 7192744500 |
| Practice Fax Number | 7192744504 |
| Mailing Telephone | 7192744500 |
| Mailing Fax Number | 7192744504 |
| Enumeration Date | 2013-12-13 |
| Last Update Date | 2013-12-13 |
| Authorized Official Name | DR. VAUGHN D JACKSON (SOLE MEMBER) |
| Authorized Official Telephone | 7192744500 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
31351 | CO | Ambulatory Health Care Facilities |
| Street Address |
412 MAIN |
| City | LA JARA |
| State | CO |
| Zip Code | 81140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407472749 | San Luis Valley Community Mental Health Center | Clinic/Center | 322 Walnut Street, La Jara, CO 81140 | 2020-06-23 |
| 1477183408 | Conejos County Government | Ambulance | 17705 State Hwy 285, Suite B, La Jara, CO 81140 | 2020-01-17 |
| 1225529688 | David Andrew Martin | Contractor | 15310 Cr T.37, La Jara, CO 81140 | 2018-05-22 |
| 1164974598 | Thomas Edgar Mcwilliams | Emergency Medicine | 3247fdr250, La Jara, CO 81140 | 2016-11-02 |
| 1912349986 | Lois Eileen Trenholm | Chiropractor | 7 Willow Drive, La Jara, CO 81140 | 2013-07-19 |
| 1356599286 | Lou Ann Cheslock Skinner | Registered Nurse | 19023 Us Hwy 285, La Jara, CO 81140 | 2008-09-04 |
| 1063690600 | Lutheran Hospital Association of The San Luis Valley | Obstetrics & Gynecology | 19021 Highway 285, La Jara, CO 81140 | 2008-02-06 |
| 1982720348 | Colin James Henderson | Emergency Medicine | 19021 Hwy 285, Conejos County Hospital, La Jara, CO 81140 | 2007-03-21 |
| 1376504092 | Conejos County Hospital Corporation | Family Medicine | 509 Main Street, La Jara, CO 81140 | 2006-03-31 |
| 1447219472 | Conejos County Hospital Ltcu Corporation | Nursing Facility/Intermediate Care Facility | 19021 State Hwy, La Jara, CA 81140 | 2006-03-20 |
| Find all providers in zip 81140 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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| 1558977058 | Yampa Valley Medical Center | Clinic/Center | 940 Central Park Dr Ste 191, Steamboat Springs, CO 80487-8853 | 2020-09-20 |
| 1932713153 | Scl Health Medical Group - Denver, LLC | Clinic/Center | 11900 Grant St Ste 240, Northglenn, CO 80233-1117 | 2020-09-04 |
| 1508470998 | Scl Health Medical Group - Denver, LLC | Clinic/Center | 1960 N Ogden St Ste 520, Denver, CO 80218-3671 | 2020-09-02 |
| 1346865896 | Boulder Community Health | Clinic/Center | 4743 Arapahoe Ave Ste 201c, Boulder, CO 80303-1128 | 2020-06-10 |
| 1346872843 | Nephrology Clinic PC | Clinic/Center | 8229 W 20th St, Greeley, CO 80634-3040 | 2020-02-12 |
| 1023640513 | Nephrology Clinic PC | Clinic/Center | 2988 Ginnala Dr, Loveland, CO 80538-2701 | 2020-02-12 |
| 1457991473 | Boulder Community Health | Clinic/Center | 101 Erie Pkwy Ste 201f, Erie, CO 80516-4072 | 2020-01-07 |
| 1922659044 | Boulder Community Health | Clinic/Center | 4880 Riverbend Rd Ste 100, Boulder, CO 80301-2622 | 2019-09-20 |
| 1225687965 | Boulder Community Health | Clinic/Center | 4747 Arapahoe Ave, 3 West, Boulder, CO 80303-1131 | 2019-09-05 |
| 1538716923 | Boulder Community Health | Clinic/Center | 101 Erie Pkwy Ste 201d, Erie, CO 80516-4072 | 2019-08-21 |
| Find all providers with the same taxonomy | ||||
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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.