ANIMAS SURGICAL HOSPITAL, LLC – NPI #1174117394
Clinic/Center

ANIMAS SURGICAL HOSPITAL, LLC is an AHC clinic located in DURANGO, CO. NPPES has assigned the NPI number 1174117394 to ANIMAS SURGICAL HOSPITAL, LLC on February 28, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. ANIMAS SURGICAL HOSPITAL, LLC is also known by the name MOBILE VACCINATION CLINIC. The primary taxonomy selected by this provider is 261QC1500X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Community Health

The NPI profile was previously updated about 3 years ago on Feb 08, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ANIMAS SURGICAL HOSPITAL, LLC below.

NPI Profile for
ANIMAS SURGICAL HOSPITAL, LLC

NPI Number
1174117394
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ANIMAS SURGICAL HOSPITAL, LLC
Other Name: MOBILE VACCINATION CLINIC
Primary location
575 RIVERGATE
DURANGO, CO 81301-7487
Phone: (970) 247-3537 Fax: (970) 247-1254
Mailing address
6128 S LYNCREST AVE
SIOUX FALLS, SD 57108-2560
Phone: (888) 955-0501 Fax: (605) 274-6186
Organization Subpart
No
Authorized Official
JENNIFER BALDOCK
OFFICER AND AUTHORIZED OFFICIAL
Phone: (615) 234-5954
Updated
Certification Date
Feb 08, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QC1500X
- Clinic/Center / Community Health (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.