Provider Demographics
NPI:1891864831
Name:NORTH PARK HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:NORTH PARK HOSPITAL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENT
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:A
Authorized Official - Last Name:VAUGHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-991-7866
Mailing Address - Street 1:PO BOX 613
Mailing Address - Street 2:340 MCKINLEY STREET
Mailing Address - City:WALDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80480-0613
Mailing Address - Country:US
Mailing Address - Phone:970-723-4586
Mailing Address - Fax:
Practice Address - Street 1:340 MCKINLEY STREET
Practice Address - Street 2:
Practice Address - City:WALDEN
Practice Address - State:CO
Practice Address - Zip Code:80480
Practice Address - Country:US
Practice Address - Phone:970-723-4586
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2019-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
C63313Medicare UPIN
COC63313Medicare Oscar/Certification