Rio Grande Hospital Clinic At South Fork

LBN: Valley Citizens' Foundation For Health Care Inc
Rio Grande Hospital Clinic At South Fork is an health care organization with primary practice located at 52 Jackson Street , South Fork CO 81154. The organization recently has only one registered license in Ambulatory Health Care Facilities / Critical Access Hospital, which is considered as the primary health care specialty. Valley Citizens' Foundation For Health Care Inc can be contacted via phone (719) 873-5494, or through Gallegos, Jenny M via phone (719) 850-4948.

Contact Information

Primary practice address
52 Jackson Street South Fork CO 81154
Phone: (719) 873-5494
Fax: (719) 873-5488
Website:
Map and Directions
Authorized official contact:
Name: Gallegos, Jenny M
Phone: (719) 850-4948

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Critical Access Hospital 261QC0050X

Profile Details

NPI number 1699266718
LBN Legal business name Valley Citizens' Foundation For Health Care Inc
DBA Doing business as Rio Grande Hospital Clinic At South Fork
Authorized official Gallegos, Jenny M
Entity Organization
Organization subpart 1 Yes
Enumeration date May 24th, 2018
Last updated Apr 5th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699266718 NPPES
Colorado MEDICAID 9000145123

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