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SOUTHEAST COLORADO HOSPITAL DISTRICT
NPI 1053302695
Nursing Facility/Intermediate Care Facility in Springfield, CO

Active since November 02, 2005
373 EAST 10TH AVENUE, SPRINGFIELD, CO 81073(719) 523-4501(719) 523-4290 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 3, 2025, Apr 21, 2021 (2 updates tracked since 2021).

About Southeast Colorado Hospital District NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHEAST COLORADO HOSPITAL DISTRICT (NPI 1053302695) is a healthcare organization registered as a nursing facility/intermediate care facility in Springfield, Colorado and active in the NPI registry since November 2005. The organization lists Carla Forrest, Him Privacy, as its authorized official.

NPPES Registry Identity

NPI1053302695
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameSOUTHEAST COLORADO HOSPITAL DISTRICT
Location Address373 EAST 10TH AVENUESpringfield, CO 81073-1622
Mailing Address373 East 10th AvenueSpringfield, CO 81073-1622 · (719) 523-4501 · Fax (719) 523-4290
Phone(719) 523-4501
Fax(719) 523-4290
Organization SubpartNo
Authorized OfficialCarla ForrestHim Privacy · (719) 523-2125
Enumeration DateNovember 2, 2005
Last NPPES UpdateSeptember 3, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2025
✔ NPI 1053302695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
License✔ Licensed in CO · 06A185
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
373 EAST 10TH AVENUE, Springfield, CO 81073
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Other Identifiers 1

Medicaid05655543CO

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 06D2189751

Southeast Colorado Hospital District Long Term Care Center And Alzheimers · Springfield, CO
Expired · Aug 4, 2026
CLIA Number06D2189751
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateAugust 5, 2024
Certificate Expiration DateAugust 4, 2026
Laboratory DirectorHeather G. Burdick
Laboratory Phone(719) 523-4501
Laboratory LocationSoutheast Colorado Hospital District Long Term Care Center And Alzheimers373 East 10th Ave, Springfield, CO 81073
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 06D0518456

Southeast Colorado Hospital District · Springfield, CO
Expired · Jul 31, 2026
CLIA Number06D0518456
Laboratory TypeHospital
Certificate Effective DateJuly 6, 2023
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorFrancisco G. La Rosa
Laboratory Phone(719) 523-4501
Laboratory LocationSoutheast Colorado Hospital District373 E 10th Ave, Springfield, CO 81073
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. STACI FAYE BISHOP PAC
Physician Assistant
373 EAST 10TH AVENUE
SPRINGFIELD, CO 81073
Baca County (719) 523-6628

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southeast Colorado Hospital District's NPI number?

The NPI number for Southeast Colorado Hospital District is 1053302695. It was assigned to this organization in the NPPES registry on November 2, 2005.

Where is Southeast Colorado Hospital District located?

Southeast Colorado Hospital District is located at 373 East 10th Avenue, Springfield, CO 81073. The listed phone number is (719) 523-4501.

What is Southeast Colorado Hospital District's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

When was this NPI record last updated?

The NPPES record for Southeast Colorado Hospital District was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.