# ANIMAS SURGICAL HOSPITAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ANIMAS SURGICAL HOSPITAL, LLC
- **Other names:** Animas Family Medicine
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1235313693
- **Legal business name:** ANIMAS SURGICAL HOSPITAL, LLC
- **Authorized official:** JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
- **Authorized official phone:** (615) 234-5954

## Contact information

- **Practice address:** 575 RIVERGATE LANE, \#105, DURANGO, CO 81301
- **Practice address phone:** (970) 385-2344
- **Practice address fax:** (405) 841-9354
- **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 |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0109 | CO | Yes |

## Other

- **Enumeration date:** 12/20/2007
- **Last updated:** 02/08/2023