# SOUTH ROUTT MEDICAL CENTER HEALTH SERVICE DISTRICT

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

## Provider details

- **NPI number:** 1790799104
- **Authorized official:** DANIEL H SMILKSTEIN M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (970) 736-8118

## Contact information

- **Practice address:** 300 MAIN STREET, OAK CREEK, CO 80467
- **Practice address phone:** (970) 736-8118
- **Mailing address:** PO BOX 8, OAK CREEK, CO 80467-0008

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 27550 | CO | Yes |

## Other

- **Enumeration date:** 07/28/2006
- **Last updated:** 12/02/2021