Organization Name: | TELLURIDE MEDICAL CENTER |
NPI Number: | 1508807694 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GORDON REICHARD (EXECUTIVE DIRECTOR) |
Mailing Address: | 500 W Pacific Ave Telluride |
State: | CO US |
Postal Code: | 81435 |
Phone Number: | 9703692311 |
Fax Number: | 9707283404 |
NPI Enumeration Date: | 06/09/2006 |
NPI Last Update Date: | 05/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QE0002X |
License Number: | 0393 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Emergency Care |
Taxonomy Definition: |