Organization
ST. VINCENT GENERAL HOSPITAL DISTRICT
Active
Parent organization
ST. VINCENT GENERAL HOSPITAL DISTRICT
Other names
St. Vincent Medical Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. VINCENT GENERAL HOSPITAL DISTRICT
Authorized official
ANDREW DREESEN (AUTHORIZED OFFICIAL)
(719) 486-7161
Entity
Organization
Contact information
Practice address
822 W 4TH ST, LEADVILLE, CO 80461-3861
(719) 486-1264
(719) 486-7145
Mailing address
822 W. 4TH STREET, LEADVILLE, CO 80461-3897
(719) 486-0230
(719) 486-7167
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/17/2014
Last updated
08/27/2024
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