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Organization
TRINIDAD AREA HEALTH ASSOCIATION
Active
Organization
TRINIDAD AREA HEALTH ASSOCIATION
Active
Other names
Mt. San Rafael Hospital Specialty Clinics
Organization subpart
No
Provider details
NPI number
Authorized official
LORI NAVARETTE (CONTROLLER)
(719) 845-4213
Entity
Organization
Contact information
Practice address
328 S BONAVENTURE AVE, TRINIDAD, CO 81082-2086
(719) 846-9213
(719) 845-4243
Mailing address
410 BENEDICTA AVE, TRINIDAD, CO 81082-2005
(719) 846-9213
(719) 845-4243
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
—
NULL
207VG0400X
Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
Other
Enumeration date
04/04/2023
Last updated
07/28/2026
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