# TRINIDAD AREA HEALTH ASSOCIATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mt. San Rafael Hospital Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467400309
- **Authorized official:** KATHY TOPPING (PFS DIRECTORE)
- **Authorized official phone:** (719) 845-3168

## Contact information

- **Practice address:** 400 BENEDICTA AVE, TRINIDAD, CO 81082-2099
- **Practice address phone:** (719) 845-3168
- **Practice address fax:** (719) 845-4243
- **Mailing address:** 410 BENEDICTA AVENUE, TRINIDAD, CO 81082
- **Mailing address phone:** (719) 846-9213
- **Mailing address fax:** (719) 845-4243

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | CO | Yes |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | CO | — |
| 208000000X | Pediatrics Physician | — | CO | — |

## Other

- **Enumeration date:** 05/04/2006
- **Last updated:** 04/04/2023