Organization
EAST PHILLIPS COUNTY HOSPITAL DISTRICT
Active
Parent organization
EAST PHILLIPS COUNTY HOSPITAL DISTRICT
Other names
Family Practice of Holyoke
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAST PHILLIPS COUNTY HOSPITAL DISTRICT
Authorized official
MICHAEL HASSELL (CEO)
(970) 854-2241
Entity
Organization
Contact information
Practice address
1001 E JOHNSON STREET, HOLYOKE, CO 80734-1854
(970) 854-2500
(970) 854-3440
Mailing address
1001 E JOHNSON STREET, HOLYOKE, CO 80734-1854
(970) 854-2500
(970) 854-3440
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
59725877
—
CO
01
—
CC8329
RR MCR #
CO
01
—
FA231008
BC/BS PROV #
CO
Enumeration date
08/01/2006
Last updated
01/04/2023
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