Organization
ST. VINCENT GENERAL HOSPITAL DISTRICT
Active
Other names
St. Vincent Hospital (Swing Bed)
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW DREESEN (AUTHORIZED OFFICIAL)
(719) 486-7161
Entity
Organization
Contact information
Practice address
816 W 4TH ST, LEADVILLE, CO 80461-3861
(719) 486-0230
Mailing address
822 W 4TH ST, LEADVILLE, CO 80461-3861
(719) 486-0230
(719) 486-1077
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
—
—
282NC0060X
Critical Access Hospital
010908
CO
282NC0060X
Critical Access Hospital
0185
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05656160
—
CO
Enumeration date
04/18/2006
Last updated
08/27/2024
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