NPIMap

Organization Active NPI

County of Moffat

Doing business as Moffat County Public Health

  • Public Health or Welfare Agency
  • Craig, CO
National Provider Identifier
1164054292
Registry record updated Oct 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
COUNTY OF MOFFAT
Doing business as
Moffat County Public Health
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
Last updated
Oct 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2026

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

Authorized official

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

Specialties & licenses 1

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

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 1

  • Moffat County Public Health Doing business as

Medicare participation

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

Enrollment records 1

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

National Provider Directory

National Provider Directory
Tax ID family
County of Moffat5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Member organizations 7

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

Locations

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

580 Pershing St
Ste 300
Craig, CO 81625

Ownership & related parties

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

Owned or controlled facilities with NPI records 5

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

NPI Registry JSON

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

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793145600000",
    "number": "1164054292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1198 W VICTORY WAY STE 109",
            "city": "CRAIG",
            "state": "CO",
            "postal_code": "816252910",
            "telephone_number": "970-824-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1198 W VICTORY WAY STE 110",
            "city": "CRAIG",
            "state": "CO",
            "postal_code": "816252910",
            "telephone_number": "970-701-7915",
            "fax_number": "833-719-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF MOFFAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-06",
        "last_updated": "2026-10-28",
        "certification_date": "2026-10-28",
        "status": "A",
        "authorized_official_last_name": "NIELSON",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "970-824-9106"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moffat County Public Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Craig, CO

Sources for this page

Verify at the official NPI Registry.