Organization
LAKE FORK HEALTH SERVICES DISTRICT
Active
Other names
Lake City Area Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEUFORD T DURMON MD (MEDICAL DIRECTOR)
(970) 944-2331
Entity
Organization
Contact information
Practice address
700 N HENSON, LAKE CITY, CO 81235-0999
(970) 944-2331
(970) 944-2320
Mailing address
PO BOX 999, LAKE CITY, CO 81235-0999
(970) 944-2331
(970) 944-2331
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
CO
261QR1300X
Rural Health Clinic/Center
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
66109019
—
CO
Enumeration date
11/19/2005
Last updated
12/03/2024
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