Organization
ST. VINCENT GENERAL HOSPITAL DISTRICT
Active
Other names
St. Vincent General Hospital District
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW DREESEN (AUTHORIZED OFFICIAL)
(719) 486-7161
Entity
Organization
Contact information
Practice address
822 W 4TH STREET, LEADVILLE, CO 80461
(719) 486-0230
(719) 486-1077
Mailing address
822 W 4TH STREET, LEADVILLE, CO 80461
(719) 486-0230
(719) 486-1077
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261Q00000X
Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
282NC0060X
Critical Access Hospital
010908
CO
282NC0060X
Critical Access Hospital
0185
CO
282NC0060X
Critical Access Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04003828
—
CO
Enumeration date
04/19/2006
Last updated
08/27/2024
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