NPIMap

Organization Active NPI

County of Ouray

Doing business as Ouray County Public Health Agency

  • Public Health or Welfare Agency
  • Ouray, CO
National Provider Identifier
1073707279
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
COUNTY OF OURAY
Doing business as
Ouray County Public Health Agency
Practice address
302 2ND Street
Ouray, CO 81427-0670
Phone
(970) 325-4670
Fax
(970) 325-7314
NPI assigned
Aug 30, 2007
Last updated
Jan 21, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Elisabeth Waltraud Lawaczeck
Title
Public Health Director
Phone
(970) 325-4670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X NU Primary

Addresses

Primary practice location

302 2ND Street
Ouray, CO 81427-0670

Mailing address

PO Box 670
Ouray, CO 81427-0670
Phone (970) 325-4670

Other identifiers 2

IdentifierTypeStateIssuer
P01278032OtherRAILROAD WORKERS MEDICARE PTAN
41501080MedicaidCO

Other names 1

  • Ouray County Public Health Agency Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040928000613 CO Part B Supplier - Mass Immunization (Roster Biller Only) 3678542586 Practice locations: Ouray, CO

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D0916582Ouray County Public Health Agency302 2ND St, Ouray, CO 81427Certificate of waiverJan 15, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

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": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421798400000",
    "number": "1073707279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670",
            "city": "OURAY",
            "state": "CO",
            "postal_code": "814270670",
            "telephone_number": "970-325-4670",
            "fax_number": "970-325-7314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 2ND STREET",
            "city": "OURAY",
            "state": "CO",
            "postal_code": "814270670",
            "telephone_number": "970-325-4670",
            "fax_number": "970-325-7314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF OURAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2015-01-21",
        "status": "A",
        "authorized_official_last_name": "LAWACZECK",
        "authorized_official_first_name": "ELISABETH",
        "authorized_official_middle_name": "WALTRAUD",
        "authorized_official_title_or_position": "PUBLIC HEALTH DIRECTOR",
        "authorized_official_telephone_number": "970-325-4670"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD WORKERS MEDICARE PTAN",
            "identifier": "P01278032",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41501080",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ouray County Public Health Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ouray, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.