# MT ROSE HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225474901
- **Authorized official:** VALERIE JEAN BORSA M.D. (OWNER)
- **Authorized official phone:** (719) 846-8478

## Contact information

- **Practice address:** 409 BENEDICTA AVE, SUITE A, TRINIDAD, CO 81082-0000
- **Practice address phone:** (719) 846-8478
- **Practice address fax:** (719) 846-2941
- **Mailing address:** 409 BENEDICTA AVE, SUITE A, TRINIDAD, CO 81082-0000
- **Mailing address phone:** (719) 846-8478
- **Mailing address fax:** (719) 846-2941

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 173000000X | Legal Medicine | 38779 | CO | Yes |

## Other

- **Enumeration date:** 05/21/2013
- **Last updated:** 05/21/2013