# WEST CUSTER COUNTY HOSPITAL DIST.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Custer County HCBS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992704761
- **Authorized official:** MRS. TOLOA PEARL RN (ADMINISTRATOR)
- **Authorized official phone:** (719) 783-2380

## Contact information

- **Practice address:** 740 EDWARDS ST, WESTCLIFFE, CO 81252-8588
- **Practice address phone:** (719) 783-2380
- **Mailing address:** PO BOX 120, WESTCLIFFE, CO 81252-0120
- **Mailing address phone:** (719) 783-2380
- **Mailing address fax:** (719) 783-2377

## Taxonomy

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

## Other

- **Enumeration date:** 07/14/2005
- **Last updated:** 07/21/2022