Lake Fork Health Services District in Lake City - Rural Health
Lake Fork Health Services District - NPI 1790767192
Lake Fork Health Services District is a Rural Health in Lake City, Colorado. Lake Fork Health Services District practices all healthcare services and medical treatments related to Rural Health. The NPI Number for Lake Fork Health Services District is 1790767192. The last update date is 2017-01-23.
Lake Fork Health Services District's current location address is Po Box 999, Lake City, Colorado. You can contact this provider via phone number 9709442331 and fax number 9709442331. The mailing address for Lake Fork Health Services District is Po Box 999, Lake City, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake Fork Health Services District |
|---|---|
| Address | Po Box 999, Lake City, Colorado |
| Phone Number | 9709442331 |
| Fax Number | 9709442331 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Durmon T Beuford |
| Credentials | MD |
| Telephone Number | 9709442331 |
NPI Number Detail
| NPI Number | 1790767192 |
|---|---|
| Provider Enumeration Date | 2005-11-19 |
| Last Updated Date | 2017-01-23 |
Provider Mailing Address Detail
| Address | Po Box 999 |
|---|---|
| City | Lake City |
| State | Colorado (CO) |
| Post Code | 812350999 |
| Phone Number | 9709442331 |
| Fax Number | 9709442331 |
Provider's Primary Taxonomy Detail
| Speciality | Rural Health |
|---|---|
| Taxonomy | 261Qr1300X |
|
Definition: Provides primary care and preventive health services in rural medically underserved areas. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 66109019 | CO | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Lake Fork Health Services District?
The Lake Fork Health Services District has been issued the NPI (National Provider Identifier) 1790767192 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Lake Fork Health Services District?
The Lake Fork Health Services District is physically situated at Po Box 999, in the city of Lake City, state of CO, with the postal code 812350999.
What is the Lake Fork Health Services District's area of specialization and corresponding taxonomy classification?
The Lake Fork Health Services District's specialty field is Rural Health, and it falls under the taxonomy code 261Qr1300X, which categorizes healthcare providers based on their specialties.
On what date did the Lake Fork Health Services District receive the assignment of its 1790767192 from the Centers for Medicare & Medicaid Services?
The Lake Fork Health Services District was issued its 1790767192 by the Centers for Medicare & Medicaid Services on 2005-11-19.
As of what date were the details related to Lake Fork Health Services District most recently updated or revised?
The information pertaining to Lake Fork Health Services District, including its address, specialty, and other relevant details, was last updated or revised on 2017-01-23.
NPI Number: 1356348106
Address: 9260 Se Stark St, Portland, OR
NPI Number: 1629078993
Address: 1550 S Potomac St, Aurora, CO
NPI Number: 1427059716
Address: 2201 Forest Ln, Garland, TX
NPI Number: 1932197779
Address: 1467 Highway 1 S, Greenville, MS
NPI Number: 1336121490
Address: 2415 Montana Ave, El Paso, TX
NPI Number: 1790767200
Address: 3950 Long Beach Blvd, Long Beach, CA
NPI Number: 1285617894
Address: 1346 S Division St, Salisbury, MD