Organization
TRINIDAD AREA HEALTH ASSOCIATION
Active
Other names
Mt. San Rafael Hospital Specialty Clinics
Organization subpart
No
Provider details
NPI number
Authorized official
LORI NAVARETTE (CONTROLLER)
(719) 846-9213
Entity
Organization
Contact information
Practice address
328 S BONAVENTURE AVE, TRINIDAD, CO 81082-2086
(719) 846-9213
(719) 845-4243
Mailing address
410 BENEDICTA AVE, TRINIDAD, CO 81082-2005
(719) 846-9213
(719) 845-4243
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
208600000X
Surgery Physician
—
—
Other
Enumeration date
04/04/2023
Last updated
04/19/2023
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