Organization Name: | PARK HOSPITAL DISTRICT |
NPI Number: | 1154312981 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RYAN WHITE (CFO) |
Mailing Address: | 555 Prospect Ave Estes Park |
State: | CO US |
Postal Code: | 805176312 |
Phone Number: | 9705862317 |
Fax Number: | |
NPI Enumeration Date: | 11/01/2005 |
NPI Last Update Date: | 08/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | 0243 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |