| Haxtun Hospital District | |
|
125 S Colorado Ave Haxtun CO 80731-5011 | |
| (970) 774-6187 | |
| (970) 774-7374 |
| Full Name | Haxtun Hospital District |
|---|---|
| Speciality | Family Medicine |
| Location | 125 S Colorado Ave, Haxtun, Colorado |
| Authorized Official Name and Position | Heidi Carpenter (CLINIC SERVICES MANAGER) |
| Authorized Official Contact | 9707746123 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Haxtun Hospital District 235 W Fletcher Haxtun CO 80731-2737 Ph: (970) 774-6123 | Haxtun Hospital District 125 S Colorado Ave Haxtun CO 80731-5011 Ph: (970) 774-6187 |
| NPI Number | 1134185903 |
|---|---|
| Provider Enumeration Date | 04/21/2006 |
| Last Update Date | 07/22/2025 |
| Medicare PECOS PAC ID | 5496664567 |
|---|---|
| Medicare Enrollment ID | O20040310000999 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134185903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Dana Morgan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770588618 PECOS PAC ID: 9739246091 Enrollment ID: I20090401000122 |
| Provider Name | Michael Dumpert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285945964 PECOS PAC ID: 4385768118 Enrollment ID: I20100901000179 |
| Provider Name | Judd W Dawson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457431991 PECOS PAC ID: 8820142425 Enrollment ID: I20110506000403 |
| Provider Name | Nathaniel Silas Chappelle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194160077 PECOS PAC ID: 6507160322 Enrollment ID: I20180403002766 |
| Provider Name | Jessica Bullard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316574148 PECOS PAC ID: 6901212844 Enrollment ID: I20210301002506 |
| Provider Name | Benjamin D Stephenson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679771414 PECOS PAC ID: 1658565551 Enrollment ID: I20210303000811 |
| Provider Name | Amy L Seinfeld |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942281142 PECOS PAC ID: 5294626917 Enrollment ID: I20210520002927 |
| Provider Name | Jodi Desiree' Fitzgerald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548722655 PECOS PAC ID: 1355675596 Enrollment ID: I20220317001370 |
| Provider Name | Ayman Elbatanony |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285260240 PECOS PAC ID: 3375908882 Enrollment ID: I20230504002152 |
| Provider Name | Adam Edward Hansen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538690201 PECOS PAC ID: 1153695010 Enrollment ID: I20240423000968 |
Banner Health Physicians Colorado Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 235 W Fletcher St, Haxtun, CO 80731 Phone: 970-774-6123 Fax: 970-774-6158 |