CONEJOS COUNTY HOSPITAL CORPORATION
NPI 1750340832
Clinic/Center - Rural Health in Antonito, CO

NPI Status: Active since March 20, 2006

Contact Information

315 MAIN STREET
ANTONITO, CO
ZIP 81120
Phone: (719) 376-2308
Fax: (719) 376-2395

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  • Organization
  • Clinic/Center
  • Rural Health
  • CLIA Number: 06D0708644
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 08-31-2026

About CONEJOS COUNTY HOSPITAL CORPORATION

This page provides the complete NPI Profile along with additional information for Conejos County Hospital Corporation, a primary care provider established in Antonito, Colorado operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1750340832 assigned on March 2006. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Mr. Thomas N. Henton (Administrator)

NPI
1750340832
Provider Name
CONEJOS COUNTY HOSPITAL CORPORATION
Entity Type
Organization
Location Address
315 MAIN STREET ANTONITO, CO 81120
Location Phone
(719) 376-2308
Location Fax
(719) 376-2395
Mailing Address
P.O. BOX 639 LA JARA, CO 81140
Mailing Phone
(719) 274-6053
Mailing Fax
(719) 376-2395
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-20-2006
Last Update Date
10-21-2010
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A primary care provider (PCP) like Conejos County Hospital Corporation sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. THOMAS N. HENTON

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(719) 274-6004

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
061308MEDICARE ID-TYPE UNSPECIFIED (04)CO 
88988333MEDICAID (05)CO 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
06D0708644
Facility Type
Hospital
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
AMBER MARQUEZ
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Conejos County Hospital Corporation to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750340832
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2710064086
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 6 + 4 + 0 + 8 + 6 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1750340832 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750340832, enumerated in the NPI registry as an "organization" on March 20, 2006

The provider is located at 315 Main Street Antonito, Co 81120 and the phone number is (719) 376-2308

This medical organization specializes in Clinic/Center with taxonomy code 261QR1300X with a focus in Rural Health

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 06D0708644 for a "hospital" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on March 20, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.