County of Moffat

Organization Active NPI Public Health or Welfare Agency · Craig, CO

NPI 1164054292 · NPPES record last updated Feb 17, 2026

Key facts

NPI
1164054292
Entity type
Organization (NPI type 2)
Primary specialty
Public Health or Welfare Agency 251K00000X
Legal business name
COUNTY OF MOFFAT
Practice address
1198 W Victory Way Ste 110
Craig, CO 81625-2910
Phone
(970) 701-7915
Fax
(833) 719-1191
NPI assigned
Feb 6, 2020
Organization subpart
No

Authorized official

Name
Catherine Nielson
Title
Finance Director
Phone
(970) 824-9106

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Corporate family (same tax ID) 4

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 6

Organizations listed as members of this organization in the National Provider Directory.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2142472Moffat County Employee Health and Wellness Clinic
1198 W Victory Way, #108, Craig, CO 81625
Certificate of waiverMar 3, 2028
06D2190685Moffat County Public Health
1198 W Victory Way, Suite 110, Craig, CO 81625
Certificate of waiverAug 17, 2026

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CO

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Memorial Regional Health
Craig, CO · CCN 061314
Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Memorial Regional Health
Craig, CO · CCN 06Z314
Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Memorial Regional Health
Craig, CO · CCN 063410
Rural health clinic 5% Or Greater Direct Ownership Interest (100%) May 1, 2017
Moffat County
Craig, CO · CCN 063412
Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Memorial Regional Health
Craig, CO · CCN 063415
Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20220511000780 CO Part B Supplier - Mass Immunization (Roster Biller Only) 5799869863 Practice locations: Craig, CO

National Provider Directory

Tax ID family
County of Moffat (5 organizations share this tax ID)

Locations

1198 W Victory Way
Ste 109
Craig, CO 81625

580 Pershing St
Ste 300
Craig, CO 81625

1198 W Victory Way
Ste 110
Craig, CO 81625
Phone (970) 701-7915

221 W Victory Way
Ste 115
Craig, CO 81625
Phone (970) 824-9106

Specialties & licenses

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

Addresses

Primary practice location

1198 W Victory Way Ste 110
Craig, CO 81625-2910

Mailing address

1198 W Victory Way Ste 109
Craig, CO 81625-2910
Phone (970) 824-9106

Other names

  • Moffat County Public Health Doing business as

Other providers in Craig, CO

All providers in Craig, CO · Public Health or Welfare Agency in Colorado

Sources for this page

Verify at the official NPI Registry.