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Contact Information

UPPER SAN JUAN HEALTH SERVICE DISTRICT
189 N PAGOSA BLVD
PAGOSA SPRINGS, CO81147
 Phone: 970-731-3700
 Fax: 970-731-3707
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Land Transport

3416L0300X 59 Ambulance Service Provider
 

Non-emergency Medical Transport (VAN)

343900000X
Indicates primary specialty

NPI Profile & details for UPPER SAN JUAN HEALTH SERVICE DISTRICT

NPI Number 1780727065
LBN Legal business name UPPER SAN JUAN HEALTH SERVICE DISTRICT
Authorized official RHONDA WEBB - (CEO, CMO)
Entity Organization
Organization subpart 1 No
Enumeration date 02/15/2007
Last updated 06/24/2024 - More than a year ago
Identifiers
CO Medicaid 06603138
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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