ST. VINCENT MEDICAL CLINIC - NPI 1093135063 - Clinic/Center in Leadville, CO

Q: What is St. Vincent General Hospital District's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

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About St. Vincent Medical Clinic NPPES

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

ST. VINCENT MEDICAL CLINIC (NPI 1093135063) is a healthcare organization registered as a rural health in Leadville, Colorado and active in the NPI registry since April 2014. The organization lists Andrew Dreesen, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1093135063

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameST. VINCENT GENERAL HOSPITAL DISTRICT

Location Address822 W 4TH STLeadville, CO 80461-3861

Mailing Address822 W. 4th StreetLeadville, CO 80461-3897 · (719) 486-0230 · Fax (719) 486-7167

Phone(719) 486-1264

Fax(719) 486-7145

Organization SubpartYes

Authorized OfficialAndrew DreesenAuthorized Official · (719) 486-7161

Enumeration DateApril 17, 2014

Last NPPES UpdateAugust 27, 20242 updates tracked since enumeration

NPPES CertifiedAugust 27, 2024

✔ NPI 1093135063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

Also ListedFamily MedicineTaxonomy 207Q00000X

822 W 4TH ST, Leadville, CO 80461

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Other Names 1

Doing Business AsSt. Vincent Medical Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 15

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

ST. VINCENT HOSPICE

Hospice Care, Community Based