Active NPI
Northeast Colorado Health Department
- Public Health or Welfare Agency
- Sterling, CO
National Provider Identifier
1013911437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- License
- 98-05302
- Legal business name
- NORTHEAST COLORADO HEALTH DEPARTMENT
- Practice address
- 700 Columbine St
Sterling, CO 80751-3728 - Phone
- (970) 522-3741
- Fax
- (970) 522-1412
- NPI assigned
- Jun 13, 2005
- Last updated
- Oct 4, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Joseph Dassaro, PHR
- Title
- Human Resource Director
- Phone
- (970) 522-3741
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | 98-05302 | CO | Primary |
Addresses
Primary practice location
700 Columbine St
Sterling, CO 80751-3728
Mailing address
700 Columbine
Sterling, CO 80751
Phone (970) 522-3741
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04427092 | Medicaid | CO | |
| 11781238 | Medicaid | CO | |
| 96175222 | Medicaid | CO | |
| 01215243 | Medicaid | CO | |
| 07537871 | Medicaid | CO | |
| 07549405 | Medicaid | CO | |
| 07569957 | Medicaid | CO | |
| 46835725 | Medicaid | CO | |
| 69456020 | Medicaid | CO | |
| 03378781 | Medicaid | CO | |
| 10153273 | Medicaid | CO | |
| 30987521 | Medicaid | CO | |
| 41773225 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040928000588 | CO | Part B Supplier - Public Health/Welfare Agency | 5698744597 | Practice locations: Akron, CO; Fort Morgan, CO; Holyoke, CO; Julesburg, CO; Sterling, CO; Yuma, CO |
National Provider Directory
National Provider DirectoryLocations
228 W Railroad Ave
Fort Morgan, CO 80701
Phone (970) 522-3741
340 Birch St
Wray, CO 80758
Phone (970) 332-3133
119 S Main St
Yuma, CO 80759
Phone (970) 848-3811
529 N Albany St
Ste 1120
Yuma, CO 80759
Phone (970) 522-3741
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nurse Practitioner
- Sterling, CO
- NPI 1467004481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1664841600000",
"number": "1013911437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 COLUMBINE",
"city": "STERLING",
"state": "CO",
"postal_code": "80751",
"telephone_number": "970-522-3741",
"fax_number": "970-522-1412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 COLUMBINE ST",
"city": "STERLING",
"state": "CO",
"postal_code": "807513728",
"telephone_number": "970-522-3741",
"fax_number": "970-522-1412"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHEAST COLORADO HEALTH DEPARTMENT",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-13",
"last_updated": "2022-10-04",
"certification_date": "2022-10-04",
"status": "A",
"authorized_official_last_name": "DASSARO",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "HUMAN RESOURCE DIRECTOR",
"authorized_official_telephone_number": "970-522-3741",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PHR"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "CO",
"license": "98-05302",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04427092",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "11781238",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "96175222",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01215243",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07537871",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07549405",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07569957",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "46835725",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "69456020",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03378781",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10153273",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30987521",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41773225",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sterling, CO
- Richard North
- Northeast Colorado Family Counseling Center, LLC
- Northeast Colorado Family Medicine Associates, P.C.
- Northeast Colorado Family Medicine Associates, P.C.
- Northeast Colorado Family Medicine Associates, P.C.
- Northeast Colorado Health Department
- Northeast Colorado Medical Equipment & Supply LLC (Care Medical Oxygen & Home Supplies)
- Northeast Colorado Orthopedic Surgery
- Northeast Plains Home Health Care, LLC
- Northeast Plains Home Health Care, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.