# HAXTUN HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Haxtun Family Medicine Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134185903
- **Authorized official:** HEIDI CARPENTER (CLINIC SERVICES MANAGER)
- **Authorized official phone:** (970) 774-6123

## Contact information

- **Practice address:** 125 S COLORADO AVE, HAXTUN, CO 80731-5011
- **Practice address phone:** (970) 774-6187
- **Practice address fax:** (970) 774-7374
- **Mailing address:** 235 W FLETCHER, HAXTUN, CO 80731-2737
- **Mailing address phone:** (970) 774-6123
- **Mailing address fax:** (970) 774-6158

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/21/2006
- **Last updated:** 07/22/2025