1356598650 NPI number — JULIA MITCHELL HUGHES M.D.

Table of content: JULIA MITCHELL HUGHES M.D. (NPI 1356598650)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1356598650 NPI number — JULIA MITCHELL HUGHES M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MITCHELL HUGHES
Provider First Name:
JULIA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MITCHELL
Provider Other First Name:
JULIA
Provider Other Middle Name:
ANN
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.D.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1356598650
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/15/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1824 CRESTVIEW DRIVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DURANGO
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
81301
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
971-645-7395
Provider Business Mailing Address Fax Number:
970-764-3375

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
MERCY REGIONAL HOSPITAL
Provider Second Line Business Practice Location Address:
1010 THREE SPRINGS BLVD
Provider Business Practice Location Address City Name:
DURANGO
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
81301
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
970-764-3352
Provider Business Practice Location Address Fax Number:
970-764-3359
Provider Enumeration Date:
08/19/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  DR.0048156 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 32504560 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".