Organization
AVISTA ADVENTIST HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACINTO HERNANDEZ M.D. (MEDICAL DIRECTOR)
(303) 673-1102
Entity
Organization
Contact information
Practice address
100 HEALTH PARK DR, LOUISVILLE, CO 80027-9583
(303) 673-1102
(303) 673-1077
Mailing address
4811 W 102ND PL, WESTMINSTER, CO 80031-2323
(303) 404-2998
(303) 404-2998
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
46864
CO
Other
Enumeration date
05/07/2007
Last updated
08/22/2020
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