NPIMap

Organization Active NPI

Montezuma County Health Department

  • Public Health or Welfare Agency
  • Cortez, CO
National Provider Identifier
1114918000
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
9802662 Issued in CO
Legal business name
MONTEZUMA COUNTY HEALTH DEPARTMENT
Practice address
106 W North St
Cortez, CO 81321-3119
Phone
(970) 565-3056
Fax
(970) 565-0647
NPI assigned
Oct 31, 2005
Last updated
Oct 22, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Authorized official

Name
Ms. Lori Cooper, RNNPI 1609906130
Title
Director
Phone
(970) 565-3056

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 9802662 CO Primary

Addresses

Primary practice location

106 W North St
Cortez, CO 81321-3119

Mailing address

106 W North St
Cortez, CO 81321-3119
Phone (970) 565-3056

Other identifiers 2

IdentifierTypeStateIssuer
04423091MedicaidCO
34888047MedicaidCO

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
06D0644467Montezuma County Public Health Department106 West North St, Cortez, CO 81321Certificate of waiverOct 3, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 27

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.

View all 27

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1114918000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 W NORTH ST",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813213119",
            "telephone_number": "970-565-3056",
            "fax_number": "970-565-0647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W NORTH ST",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813213119",
            "telephone_number": "970-565-3056",
            "fax_number": "970-565-0647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTEZUMA COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "970-565-3056",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "CO",
            "license": "9802662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04423091",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34888047",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortez, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.