Organization
CONEJOS COUNTY HOSPITAL CORPORATION
Active
Other names
Long Term Care Unit
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRIGITTE INGE FOUST (HIPPA PRIVACY SECURITY OFFICER)
(719) 274-6029
Entity
Organization
Contact information
Practice address
19021 STATE HWY 285, LA JARA, CO 81140
(719) 274-6058
(719) 274-6003
Mailing address
PO BOX 639, 19021 STATE HWY 285, LA JARA, CO 81140-0639
(719) 274-6058
(719) 274-6003
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07079834
—
CO
Enumeration date
03/20/2006
Last updated
08/22/2020
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