| Organization Name: | UPPER SAN JUAN HOSPITAL DISTRICT |
| NPI Number: | 1245401561 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRADLEY A. COCHENNET (CEO) |
| Mailing Address: | 95 S Pagosa Blvd Pagosa Springs |
| State: | CO US |
| Postal Code: | 811478329 |
| Phone Number: | 9707313700 |
| Fax Number: | 9707313707 |
| NPI Enumeration Date: | 03/14/2008 |
| NPI Last Update Date: | 12/01/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |