Organization Name: | STANTON COUNTY HOSPITAL |
NPI Number: | 1811333768 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PEGGY CARRITHERS (MANAGER) |
Mailing Address: | 410 W Colorado Holly |
State: | CO US |
Postal Code: | 81047 |
Phone Number: | 7195376642 |
Fax Number: | 7195376052 |
NPI Enumeration Date: | 05/20/2013 |
NPI Last Update Date: | 03/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |