NPIMap

Organization Active NPI

Teller County

Doing business as Teller County Public Health

  • State or Local Public Health Clinic/Center
  • Divide, CO
National Provider Identifier
1104998822
Registry record updated Apr 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
License
04540548 Issued in CO
Legal business name
TELLER COUNTY
Doing business as
Teller County Public Health
Practice address
11115 W. Highway 24
Unit 2C
Divide, CO 80814
Phone
(719) 687-6416
Fax
(719) 687-6501
NPI assigned
Nov 15, 2006
Last updated
Apr 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2010

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

Authorized official

Name
Mrs. Christina Goettge Rubin, N.P., R.N.
Title
Director
Phone
(719) 687-6416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X 04540548 CO Primary

Addresses

Primary practice location

11115 W. Highway 24
Unit 2C
Divide, CO 80814

Mailing address

PO Box 928
Divide, CO 80814-0928
Phone (719) 687-6416

Other identifiers 1

IdentifierTypeStateIssuer
04540548MedicaidCO

Other names 1

  • Teller County Public Health Doing business as

National Provider Directory

National Provider Directory

Locations

540 Manor Ct
Woodland Park, CO 80863
Phone (719) 687-1404

Practitioners & affiliated clinicians

Practitioners 11

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": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270684800000",
    "number": "1104998822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 928",
            "city": "DIVIDE",
            "state": "CO",
            "postal_code": "808140928",
            "telephone_number": "719-687-6416",
            "fax_number": "719-687-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11115 W. HIGHWAY 24",
            "address_2": "UNIT 2C",
            "city": "DIVIDE",
            "state": "CO",
            "postal_code": "80814",
            "telephone_number": "719-687-6416",
            "fax_number": "719-687-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELLER COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2010-04-08",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "GOETTGE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "719-687-6416",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "N.P., R.N."
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "CO",
            "license": "04540548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04540548",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Teller County Public Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Divide, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.