# ST MARY'S HOSPITAL AND MEDICAL CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
- **Other names:** Intermountain Health Bloomin' Babies - Telluride Satellite
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1902563877
- **Legal business name:** SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
- **Authorized official:** TERRI L CHINN (VP FINANCE)
- **Authorized official phone:** (970) 298-2020

## Contact information

- **Practice address:** 500 W PACIFIC AVE, TELLURIDE, CO 81435
- **Practice address phone:** (970) 549-1711
- **Practice address fax:** (970) 314-2633
- **Mailing address:** 500 ELDORADO BLVD STE 6300, BROOMFIELD, CO 80021-3422
- **Mailing address phone:** (303) 272-0566
- **Mailing address fax:** (303) 272-0390

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/26/2021
- **Last updated:** 01/03/2024