| Organization Name: | SOUTH CENTRAL COLFAX COUNTY SPECIAL HOSPITAL DISTRICT |
| NPI Number: | 1215163639 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIAM NORRIS (ADMINISTRATOR) |
| Mailing Address: | 11 Elliott Barker Road Angel Fire |
| State: | NM US |
| Postal Code: | 87710 |
| Phone Number: | 5753773301 |
| Fax Number: | 5753773991 |
| NPI Enumeration Date: | 06/01/2009 |
| NPI Last Update Date: | 06/01/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |