Organization
TRINIDAD AREA HEALTH ASSOCIATION
Active
Other names
Mt. San Rafael Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY ROSE TOPPING (PFS DIRECTOR)
(719) 845-3168
Entity
Organization
Contact information
Practice address
410 BENEDICTA AVE, TRINIDAD, CO 81082-2005
(719) 845-3168
(719) 846-3370
Mailing address
410 BENEDICTA AVE, TRINIDAD, CO 81082-2005
(719) 845-3168
(719) 846-3370
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184616740
—
CO
Enumeration date
04/14/2021
Last updated
04/14/2021
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