# ANIMAS SURGICAL HOSPITAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mobile Vaccination Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174117394
- **Authorized official:** JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
- **Authorized official phone:** (615) 234-5954

## Contact information

- **Practice address:** 575 RIVERGATE, DURANGO, CO 81301-7487
- **Practice address phone:** (970) 247-3537
- **Practice address fax:** (970) 247-1254
- **Mailing address:** 6128 S LYNCREST AVE, SIOUX FALLS, SD 57108-2560
- **Mailing address phone:** (888) 955-0501
- **Mailing address fax:** (605) 274-6186

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/28/2021
- **Last updated:** 02/08/2023