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Organization

TRINIDAD AREA HEALTH ASSOCIATION

Active
Other names
Mt. San Rafael Hospital Clinic
Organization subpart
No

Provider details

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

Contact information

Practice address
400 BENEDICTA AVE, TRINIDAD, CO 81082-2099
(719) 845-3168
(719) 845-4243
Mailing address
410 BENEDICTA AVENUE, TRINIDAD, CO 81082
(719) 846-9213
(719) 845-4243

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
CO
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
CO
208000000X
Pediatrics Physician
CO

Other

Enumeration date
05/04/2006
Last updated
04/04/2023
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