UPPER SAN JUAN HEALTH SERVICE DISTRICT (NPI# 1780727065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780727065 |
| Entity Type | Organization |
| Organization Name | UPPER SAN JUAN HEALTH SERVICE DISTRICT |
| Practice Address |
189 N Pagosa Blvd Pagosa Springs CO 81147 |
| Mailing Address |
95 S Pagosa Blvd Pagosa Springs CO 81147-8329 |
| Practice Telephone | 9707313700 |
| Practice Fax Number | 9707313707 |
| Mailing Telephone | 9707313700 |
| Mailing Fax Number | 9707313707 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2018-09-10 |
| NPI Deactivation Date | 12/20/2011 |
| NPI Reactivation Date | 2012-03-08 |
| Authorized Official Name | RHONDA WEBB (CEO, CMO) |
| Authorized Official Telephone | 9707313700 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 06603138 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659507150 | Upper San Juan Health Service District | Clinic/Center | 95 S Pagosa Blvd, Pagosa Springs, CO 81147-8329 | 2009-06-10 |
| 1659523058 | Upper San Juan Health Service District | Clinic/Center | 95 S Pagosa Blvd, Pagosa Springs, CO 81147-8329 | 2008-10-16 |
| 1790956571 | Upper San Juan Health Service District | Medicare Defined Swing Bed Unit | 95 S Pagosa Blvd, Pagosa Springs, CO 81147-8329 | 2008-03-19 |
| 1245401561 | Upper San Juan Health Service District | General Acute Care Hospital | 95 S Pagosa Blvd, Pagosa Springs, CO 81147-8329 | 2008-03-14 |
| Street Address |
189 N PAGOSA BLVD |
| City | PAGOSA SPRINGS |
| State | CO |
| Zip Code | 81147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184243479 | Lauren Crawford | Massage Therapist | 140 Country Center Dr, Unit 2, Pagosa Springs, CO 81147 | 2020-04-16 |
| 1962021279 | Jennifer Marie Owens | Massage Therapist | 140 Country Center Dr., Unit 2, Pagosa Springs, CO 81147 | 2020-04-16 |
| 1235760521 | A Safe Place In Pagosa, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 459 Lewis Street, Pagosa Springs, CO 81147 | 2020-01-27 |
| 1114407657 | Clarity Coaching and Counseling, LLC | Clinic/Center | 115 Ute Drive, Ignacio, CO 81147 | 2018-08-15 |
| 1659880169 | Dds Catalyst Pagosa, LLC | Clinic/Center | 308 N. Pagosa Street, Pagosa Springs, CO 81147 | 2017-09-27 |
| 1205358918 | John D. Kutzko | Pharmacist | Selah Mountain Pharmacy, 426 Pagosa Street, Pagosa Springs, CO 81147 | 2017-07-13 |
| 1245774587 | Specialized Imaging | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 117 Navajo, Unit 3, Pagosa Springs, CO 81147 | 2016-12-06 |
| 1003295478 | Four Corners Family Dental-co, LLC | Dentist | 308 N Pagosa St, Pagosa Springs, CO 81147 | 2015-05-19 |
| 1710385075 | Merenda Renae Romine | Massage Therapist | 26 Durango Ct., Pagosa Springs, CO 81147 | 2014-12-18 |
| 1447657044 | Ashley Wagle | Counselor | 475 Lewis Street, Suite 104, Pagosa Springs, CO 81147 | 2014-11-25 |
| Find all providers in zip 81147 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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|---|---|---|---|---|
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| 1871101782 | Boulder Rural Fire Protection District | Ambulance | 6230 Lookout Rd, Boulder, CO 80301-3319 | 2020-07-16 |
| 1659992956 | American Medical Response of Colorado Inc | Ambulance | 230 Depot St, Golden, CO 80401-1073 | 2020-04-28 |
| 1508496308 | City of Steamboat Springs | Ambulance | 2600 Pine Grove Road, Steamboat Springs, CO 80487 | 2020-01-21 |
| 1629608427 | Southwest Teller County Emergency Medical Services | Ambulance | 147 East Bennett Avenue, Cripple Creek, CO 80813 | 2020-01-21 |
| 1881231827 | Asteri Consulting Services LLC | Ambulance | 949 E Fillmore St, Colorado Springs, CO 80907-6315 | 2019-12-10 |
| 1285288712 | Falcon Fire Protection District | Ambulance | 7030 Old Meridian Rd, Falcon, CO 80831-8112 | 2019-08-01 |
| 1235694720 | Transcare, Inc. | Ambulance | 124 Apollo Rd, Montrose, CO 81401-4857 | 2019-02-08 |
| 1114490745 | Limon Area Fire Protection District | Ambulance | 130 C Ave, Limon, CO 80828-5059 | 2019-01-07 |
| Find all providers with the same taxonomy | ||||
| City | PAGOSA SPRINGS |
| Zip Code | 81147 |
Please comment or provide details below to improve the information on UPPER SAN JUAN HEALTH SERVICE 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.