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Organization

SOUTHEAST COLORADO HOSPITAL DISTRICT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CARLA FORREST (HIM PRIVACY)
(719) 523-2125
Entity
Organization

Contact information

Practice address
373 EAST 10TH AVENUE, SPRINGFIELD, CO 81073-1622
(719) 523-4501
(719) 523-4290
Mailing address
373 EAST 10TH AVENUE, SPRINGFIELD, CO 81073-1622
(719) 523-4501
(719) 523-4290

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
06A185
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05655543
CO
Enumeration date
11/02/2005
Last updated
09/03/2025
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