EAST PHILLIPS COUNTY HOSPITAL DISTRICT (NPI# 1891733879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891733879 |
| Entity Type | Organization |
| Organization Name | EAST PHILLIPS COUNTY HOSPITAL DISTRICT |
| Other Organization Name | MELISSA MEMORIAL HOSPITAL |
| Practice Address |
1001 E Johnson Street Holyoke CO 80734-1854 |
| Practice Telephone | 9708542241 |
| Practice Fax Number | 9708543821 |
| Mailing Telephone | 9708542241 |
| Mailing Fax Number | 9708543821 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MRS. SHELLY L LARSON (CFO) |
| Authorized Official Telephone | 9708542241 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
0586 | CO | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 06060321 | 05 | |
| CO | 05038005 | 05 | |
| CO | BCBS PROVIDER NO. | 2980 | 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 |
| 1235624990 | East Phillips County Hospital District | Dentist | 1001 E Johnson St, Holyoke, CO 80734-1854 | 2018-06-26 |
| 1356842652 | East Phillips County Hospital District | Ambulance | 1001 E Johnson St, Holyoke, CO 80734-1854 | 2018-02-22 |
| 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 STREET |
| City | HOLYOKE |
| State | CO |
| Zip Code | 80734-1854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
| 1861806929 | Daniela Monique De Vargas Boyer | Family Medicine | 1001 E Johnson St, Melissa Memorial Hospital, Holyoke, CO 80734 | 2014-06-17 |
| 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 |
| Find all providers in zip 80734 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
| 1235777889 | Aspen Valley Hospital District | General Acute Care Hospital | 234 Cody Lane, Cardiac Rehab Basalt, Basalt, CO 81621 | 2019-12-13 |
| 1114565736 | Aspen Valley Hospital District | General Acute Care Hospital | 239 Snowmass Club Circle, Pt Snowmass Club, Snowmass Village, CO 81615 | 2019-12-13 |
| 1144669102 | Emergency Medical & Surgical Specialists of Colorado LLC | General Acute Care Hospital | 99 Kearney St, Denver, CO 80220-5922 | 2013-06-22 |
| 1790983872 | Greg A Stransky | General Acute Care Hospital | 6365 W 45th Pl, Wheat Ridge, CO 80033-3730 | 2007-07-10 |
| 1366452732 | County of Kiowa Hospital District | General Acute Care Hospital | 1208 Luther Street, Eads, CO 81036 | 2006-08-09 |
| 1063430346 | Rangely Hospital District | General Acute Care Hospital | 225 Eagle Crest Dr., Rangely, CO 81648-2100 | 2006-07-17 |
| 1174557763 | Amy Wehrman | General Acute Care Hospital | 19269 W 53rd Loop, Golden, CO 80403-2161 | 2006-07-10 |
| 1497710958 | St. Vincent General Hospital District | General Acute Care Hospital | 822 W 4th Street, Leadville, CO 80461 | 2006-04-19 |
| 1407811961 | St. Vincent General Hospital District | General Acute Care Hospital | 822 W. 4th Street, Leadville, CO 80461-3897 | 2006-04-19 |
| 1891750436 | St. Vincent General Hospital District | General Acute Care Hospital | 822 West 4th Street, Leadville, CO 80461 | 2006-04-18 |
| 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.