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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 66109019 | 05 |
Other Name | Type Code |
---|---|
Lake City Area Medical Center | Doing Business As Name - Organization |
Street Address |
700 N HENSON |
City | LAKE CITY |
State | CO |
Zip Code | 81235-0999 |
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 Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
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 |
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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.