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Organization
ST. VINCENT GENERAL HOSPITAL DISTRICT
Active
Organization
ST. VINCENT GENERAL HOSPITAL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW DREESEN (AUTHORIZED OFFICIAL)
(719) 486-7161
Entity
Organization
Contact information
Practice address
816 W 4TH ST, LEADVILLE, CO 80461-3861
(719) 486-0230
(719) 486-1077
Mailing address
822 W 4TH ST, LEADVILLE, CO 80461
(719) 486-0230
(719) 486-1077
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
010908
CO
282NC0060X
Critical Access Hospital
0185
CO
341600000X
Ambulance
—
—
3416L0300X
Land Ambulance
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04003828
—
CO
05
—
040039828
—
CO
05
—
05029004
—
CO
05
—
05656160
—
CO
05
—
06060156
—
CO
Enumeration date
04/12/2006
Last updated
08/27/2024
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