Organization Active NPI

Northeast Colorado Health Department

  • Public Health or Welfare Agency
  • Sterling, CO
National Provider Identifier
1013911437
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
98-05302 Issued in CO
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
04427092MedicaidCO
11781238MedicaidCO
96175222MedicaidCO
01215243MedicaidCO
07537871MedicaidCO
07549405MedicaidCO
07569957MedicaidCO
46835725MedicaidCO
69456020MedicaidCO
03378781MedicaidCO
10153273MedicaidCO
30987521MedicaidCO
41773225MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.