Organization
CONEJOS COUNTY HOSPITAL CORPORATION
Active
Parent organization
CONEJOS COUNTY HOSPITAL CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
CONEJOS COUNTY HOSPITAL CORPORATION
Authorized official
MR. THOMAS N. HENTON (ADMINISTRATOR)
(719) 274-6004
Entity
Organization
Contact information
Practice address
315 MAIN STREET, ANTONITO, CO 81120
(719) 376-2308
(719) 376-2395
Mailing address
P.O. BOX 639, LA JARA, CO 81140
(719) 274-6053
(719) 274-6065
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
88988333
—
CO
Enumeration date
03/20/2006
Last updated
10/21/2010
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