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Organization

TRINIDAD AREA HEALTH ASSOCIATION

Active
Other names
Mt. San Rafael Hospital
Organization subpart
No

Provider details

NPI number
Authorized official
KATHY TOPPING (PFS DIRECTOR)
(719) 845-3168
Entity
Organization

Contact information

Practice address
410 BENEDICTA AVE, TRINIDAD, CO 81082-2005
(719) 846-9213
(719) 845-4243
Mailing address
410 BENEDICTA AVE, TRINIDAD, CO 81082-2005
(719) 846-9213
(719) 845-4243

Taxonomy

Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
0.107.04
CO
282NC0060X
Critical Access Hospital

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05033006
CO
Enumeration date
08/19/2005
Last updated
01/06/2022
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