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  • 061604
CCN: 061604 NPI: 1982052452 Organization

MT ROSE HEALTH CENTER PALLIATIVE CARE AND HOSPICE INC.

409 BENEDICTA AVE , SUITE A
TRINIDAD, CO 810822004

Contact Information

  • Phone 7198468478
  • Fax 7198462941
  • Enumeration Date 2016-05-25
  • Last Updated 2017-05-02

Taxonomies

  • Code: 315D00000X (Primary) License State: CO License: 38779

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 6
cbsaActualGeographicLocation 99906
providerType 35
censusDivision 6
cbsaActualGeographicLocation 99906
providerType 35
censusDivision 6
cbsaActualGeographicLocation 99906
providerType 35
censusDivision 0
cbsaActualGeographicLocation 99906
providerType 35
censusDivision 0
cbsaActualGeographicLocation 99906
providerType 35
censusDivision 0
cbsaActualGeographicLocation 99906
providerType 35
censusDivision 0
cbsaActualGeographicLocation 99906
providerType 35
censusDivision 0
cbsaActualGeographicLocation 99906
providerType 35
censusDivision 0
cbsaActualGeographicLocation 99906
providerType 35

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 99906
providerType 35
specialPaymentIndicator
carrierCode 04112
localityCode 01
cbsaActualGeographicLocation 99906
providerType 35
specialPaymentIndicator
carrierCode 04112
localityCode 01
cbsaActualGeographicLocation 99906
providerType 35
specialPaymentIndicator
carrierCode 04112
localityCode 01
cbsaActualGeographicLocation 99906
providerType 35
specialPaymentIndicator
carrierCode 04112
localityCode 01
cbsaActualGeographicLocation 99906
providerType 35
specialPaymentIndicator
carrierCode 04112
localityCode 01

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