Lake Fork Health Services District
Clinic/Center, Rural Health in Lake City, CO. Organization (NPI-2).
NPI number1790767192
StatusActive
Last updated in NPPESDec 3, 2024
Details
- NPI
- 1790767192
- Entity type
- Organization (NPI-2)
- Legal business name
- Lake Fork Health Services District
- Organization subpart
- No
- Enumeration date
- Nov 19, 2005
- Certification date
- Dec 3, 2024
- Last updated
- Dec 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR1300X | Clinic/Center, Rural Health | – | CO | Yes |
| 261QD0000X | Clinic/Center, Dental | – | CO |
Other names
- Lake City Area Medical Center (Doing Business As)
Practice location
700 N HensonLake City, CO 81235-0999
Phone 970-944-2331 · Fax 970-944-2320
Mailing address
Po Box 999Lake City, CO 81235-0999
Phone 970-944-2331 · Fax 970-944-2331
Authorized official
Beuford T Durmon
Medical Director
9709442331
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