OrganizationActive
St. Vincent General Hospital District
NPI 1093135063 · Rural Health Clinic/Center · Leadville, CO
Provider details
- NPI number
- 1093135063
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- St. Vincent General Hospital District
- Organization subpart
- Yes
- Authorized official
- Andrew Dreesen, Authorized Official(719) 486-7161
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
822 W 4th St
Leadville, CO 80461-3861
Phone: (719) 486-1264
Fax: (719) 486-7145
Street-level locationGet directions
Mailing address
822 W. 4th Street
Leadville, CO 80461-3897
Other names (DBA / former)
- Doing business as
- St. Vincent Medical Clinic
Registry dates
- Enumerated
- 2014-04-17
- Last updated
- 2024-08-27
- Certified
- 2024-08-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.