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MOBILE VACCINATION CLINIC
NPI 1174117394
Clinic/Center - Community Health in Durango, CO

Active since February 28, 2021CLIA 06D2060663 · Waiver
575 RIVERGATE, DURANGO, CO 81301(970) 247-3537(970) 247-1254 Get Directions Write a Review

NPPES record last updated: February 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 8, 2023, Feb 28, 2021 (2 updates tracked since 2021).

About Mobile Vaccination Clinic NPPES

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

MOBILE VACCINATION CLINIC (NPI 1174117394) is a healthcare organization registered as a community health in Durango, Colorado and active in the NPI registry since February 2021. The organization holds a CLIA Waiver certificate valid through June 13, 2027 and lists Jennifer Boyd Baldock, Officer And Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1174117394
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameANIMAS SURGICAL HOSPITAL, LLC
Location Address575 RIVERGATEDurango, CO 81301-7487
Mailing Address6128 S Lyncrest AveSioux Falls, SD 57108-2560 · (888) 955-0501 · Fax (605) 274-6186
Phone(970) 247-3537
Fax(970) 247-1254
Organization SubpartNo
Authorized OfficialJennifer Boyd BaldockOfficer And Authorized Official · (615) 234-5954
Enumeration DateFebruary 28, 2021
Last NPPES UpdateFebruary 8, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2023
✔ NPI 1174117394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
575 RIVERGATE, Durango, CO 81301
Open in Google Maps ↗

Other Names 1

Other NameMobile Vaccination Clinic

CLIA Laboratory Certificates CMS CLIA

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 06D2060663

Animas Surgical Hospital - Urgent Care · Durango, CO
Active · expires Jun 13, 2027
CLIA Number06D2060663
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateJune 14, 2025
Certificate Expiration DateJune 13, 2027
Laboratory DirectorDr. Jonathan Rudolph
Laboratory Phone(970) 247-3537
Laboratory LocationAnimas Surgical Hospital - Urgent Care450 S Camino Del Rio, Suite 106, Durango, CO 81301
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

DAVID B MERRITT MD
Family Medicine
575 RIVERGATE
DURANGO, CO 81301
La Plata County (970) 247-3537
ERIC CAMPBELL MEYER M.D.
Ophthalmology
575 RIVERGATE, SUITE 212
DURANGO, CO 81301
La Plata County (970) 259-2202
MORPHEUS ANESTHESIA, LLC
Anesthesiology
575 RIVERGATE
DURANGO, CO 81301
La Plata County (719) 648-5678
ROTAN INC.
Anesthesiology
575 RIVERGATE
DURANGO, CO 81301
La Plata County (702) 622-1091
ANTHONY F VEROW MD PC
Anesthesiology
575 RIVERGATE
DURANGO, CO 81301
La Plata County (970) 247-3537
FOUR CORNERS EYE CLINIC, PC
Specialist
575 RIVERGATE, SUITE 212
DURANGO, CO 81301
La Plata County (970) 259-2202
DAVID MAYER MD PC
Anesthesiology
575 RIVERGATE
DURANGO, CO 81301
La Plata County (970) 247-3537
DR. ADELIA MARIE DAVIDSON M.D.
Family Medicine
575 RIVERGATE, SUITE 210
DURANGO, CO 81301
La Plata County (970) 247-0042

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 Animas Surgical Hospital, LLC's NPI number?

The NPI number for Animas Surgical Hospital, LLC is 1174117394. It was assigned to this organization in the NPPES registry on February 28, 2021. The provider is also known as Mobile Vaccination Clinic.

Where is Animas Surgical Hospital, LLC located?

Animas Surgical Hospital, LLC is located at 575 Rivergate, Durango, CO 81301. The listed phone number is (970) 247-3537.

What is Animas Surgical Hospital, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Does Animas Surgical Hospital, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2060663) is associated with this NPI, valid through June 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Animas Surgical Hospital, LLC was last updated on February 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.