Organization
CONEJOS COUNTY HOSPITAL CORPORATION LONG TERM CARE UNIT
Active
Other names
Conejos County Hospital District
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRIGITTE INGE FOUST (HIPAA PRIVACY SECURITY OFFICER)
(719) 274-6029
Entity
Organization
Contact information
Practice address
19021 STATE HWY 885, LA JARA, CO 81140
(719) 274-6058
(719) 274-6003
Mailing address
PO BOX 639, 16021 STATE HWY 285, LA JARA, CO 81140
(719) 274-6058
(719) 274-6003
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47174838
—
CO
Enumeration date
03/20/2006
Last updated
08/22/2020
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