OTERO COUNTY HEALTH DEPARTMENT (NPI# 1023215472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023215472 |
| Entity Type | Organization |
| Organization Name | OTERO COUNTY HEALTH DEPARTMENT |
| Practice Address |
13 West Third St. Room 111 La Junta CO 81050-1691 |
| Practice Telephone | 7193833040 |
| Practice Fax Number | 7193833060 |
| Mailing Telephone | 7193833040 |
| Mailing Fax Number | 7193833060 |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. LORENE NELSON (NURSING SUPERVISOR) |
| Authorized Official Telephone | 7193833040 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP0905X |
Clinic/Center Specialization: Public Health, State or Local |
04413092 | CO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 07396187 | 05 | |
| CO | 07321771 | 05 | |
| CO | 07452618 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831294867 | Otero County Health Department | Public Health or Welfare | 13 W 3rd St, Room 111 County Courthouse, La Junta, CO 81050-1536 | 2006-09-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | OTERO COUNTY HEALTH DEPARTMENT | 13 West Third Street Rm 111, La Junta, CO 81050-1536 |
| Street Address |
13 WEST THIRD ST. ROOM 111 |
| City | LA JUNTA |
| State | CO |
| Zip Code | 81050-1691 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225658057 | Poudre Valley Medical Group, LLC | Internal Medicine | 2315 San Juan Avenue, La Junta, CO 81050 | 2020-04-22 |
| 1316589567 | Southeast Mental Health Services | Clinic/Center | 721 Barnes Ave, La Junta, CO 81050 | 2019-10-09 |
| 1164945127 | Susan Ann Workman | Clinical Nurse Specialist | 13 West Third Street, Room 111, La Junta, CO 81050 | 2017-07-21 |
| 1952774465 | Ryan T Anderson Ddc PC | Clinic/Center | 13 E 4th St., La Junta, CO 81050 | 2015-11-05 |
| 1083086524 | Ryan Taylor Anderson | Dentist | 13 East 4th Street, La Junta, CO 81050 | 2015-10-23 |
| 1902287329 | Shanna Kay Riley | Case Manager/Care Coordinator | 711 Barnes Ave., La Junta, CO 81050 | 2015-06-11 |
| 1548668593 | Joseph Wayne Lee | Licensed Practical Nurse | 1203 Holt Ln, Lajunta, CO 81050 | 2014-12-08 |
| 1730506809 | Down To Earth Dentistry, LLC. | Dentist | 17 W. 4th St., La Junta, CO 81050 | 2014-03-26 |
| 1154668275 | Arkansas Valley Hearing Center, Inc | Hearing Aid Equipment | 408 West 3rd St, La Junta, CO 81050 | 2013-01-09 |
| 1710223698 | Timothy Eugene Kelley | Counselor | 313 West Third Street, Suite 204, La Junta, CO 81050 | 2012-12-20 |
| Find all providers in zip 81050 | ||||
| Taxonomy Code | 261QP0905X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Public Health, State or Local |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225309081 | Jefferson County Public Health | Clinic/Center | 260 Kipling Street, Lakewood, CO 80226 | 2012-01-25 |
| 1104998822 | Teller County | Clinic/Center | 11115 W. Highway 24, Unit 2c, Divide, CO 80814 | 2006-11-15 |
| 1609834449 | County of Chaffee | Clinic/Center | 448 E 1st St, Suite 137, Salida, CO 81201-2804 | 2006-05-02 |
| 1962552372 | San Juan Basin Health Department | Clinic/Center | 281 Sawyer Dr, Durango, CO 81303-3409 | 2007-01-11 |
| 1083764443 | San Juan Basin Health Department | Clinic/Center | 281 Sawyer Dr, Durango, CO 81303-3409 | 2007-01-10 |
| 1841350410 | San Juan Basin Health Department | Clinic/Center | 281 Sawyer Dr, Durango, CO 81303-3409 | 2006-12-12 |
| 1457411035 | San Juan Basin Health Department | Clinic/Center | 281 Sawyer Dr, Durango, CO 81303-3409 | 2006-12-12 |
| 1245228022 | Pueblo Department of Public Health and Environment | Clinic/Center | 101 W 9th St, Pueblo, CO 81003-4103 | 2005-10-06 |
| 1174515258 | County of Weld Board of County Commissioners | Clinic/Center | 1555 N 17th Ave, Greeley, CO 80631-9117 | 2005-08-16 |
Please comment or provide details below to improve the information on OTERO COUNTY HEALTH DEPARTMENT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.