LAKE FORK HEALTH SERVICES DISTRICT


Address: 700 N Henson, Lake City, CO 81235-0999
Phone: 9709442331

LAKE FORK HEALTH SERVICES DISTRICT (NPI# 1790767192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790767192
Entity Type Organization
Organization Name LAKE FORK HEALTH SERVICES DISTRICT
Other Organization Name LAKE CITY AREA MEDICAL CENTER
Practice Address 700 N Henson
Lake City
CO 81235-0999
Mailing Address Po Box 999
Lake City
CO 81235-0999
Practice Telephone 9709442331
Practice Fax Number 9709442320
Mailing Telephone 9709442331
Mailing Fax Number 9709442331
Enumeration Date 2005-11-19
Last Update Date 2017-01-23
Authorized Official Name DR. BEUFORD T DURMON (MEDICAL DIRECTOR)
Authorized Official Telephone 9709442331
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QD0000X Clinic/Center
Specialization: Dental
CO Ambulatory Health Care Facilities
Y 261QR1300X Clinic/Center
Specialization: Rural Health
CO Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CO 66109019 05

Other Provider/Organization Names

Other Name Type Code
Lake City Area Medical Center Doing Business As Name - Organization

Office Location

Street Address 700 N HENSON
City LAKE CITY
State CO
Zip Code 81235-0999

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174010953 Teslin Emory Sky Maclaren Acupuncturist 811 Highway 149, Unit 6, Lake City, CO 81235 2018-04-17
1164896866 The Texan Recovery Psychiatry & Neurology 860 Co Rd 142, Lake City, CO 81235 2015-11-18
1073959136 Vernon Taylor Smith Specialist 2537 Elk Road, Lake City, CO 81235 2013-05-16
1053369595 Beuford Durmon Emergency Medicine 700 N Henson St, Lake City, CO 81235 2006-05-05
1306823612 County of Hinsdale Ambulance 700 Henson St, Lake City, CO 81235 2005-12-28
1598755423 Clarity Counseling P.C. Counselor 700 Henson St., Lake City, CO 81235 2005-10-22
1679948764 Texan Resort Recovery LLC Substance Abuse Rehabilitation Facility 860 Co Rd 142, Lake City, CO 81235 2015-12-01
1922472059 Phyllis Mabbett Psychologist 860 Co Rd 142, Lake City, CO 81235 2015-12-01
1538655766 Silver Thread Public Health District Family Medicine 304 W. 3rd St, Lake City, CO 81235-0277 2018-07-11
1326280553 Lake City Dental Clinic Dentist 700 North Henson St, Lake City, CO 81235-0999 2009-04-02
Find all providers in zip 81235

Taxonomy Information

Taxonomy Code 261QR1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rural Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396969002 Lake City Family Medicine LLC Clinic/Center 901 N. Matthews Rd., Lake City, SC 29560 2007-04-12
1316953649 Lower Florence County Hosptial Clinic/Center 334 Mercy St, Lake City, SC 29560-2332 2006-07-31
1497754154 Andres R Villar Md Clinic/Center 789 W Duval St, Lake City, FL 32055-3811 2005-07-15
1457950222 Medical University Hospital Authority Clinic/Center 148 Sauls St Ste E, Lake City, SC 29560-2677 2020-10-22
1114246584 East Main Medical Services, LLC Clinic/Center 238 E Main St, Lake City, SC 29560-2114 2010-05-25
1477785095 Enrique Technologies Inc Clinic/Center 777 W Duval St, Lake City, FL 32055-5806 2009-08-14
1144467960 Lake City Family Medicine LLC Clinic/Center 901 N Matthews Rd, Lake City, SC 29560-7024 2009-01-15
1215157334 Carolinas Medical Alliance, Inc Clinic/Center 101 John St, Lake City, SC 29560-2411 2007-04-30
1477631752 Hc Healthcare Inc Clinic/Center 777 W Duval St, Lake City, FL 32055-5806 2006-11-02
1902903222 Lower Florence County Hospital Clinic/Center 334 Mercy St, Lake City, SC 29560-2332 2006-09-20
Find all providers in LAKE CITY

Competitor

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City LAKE CITY
Zip Code 81235

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Dataset Information

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.

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