County of Archuleta

Primary specialty

State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X

Legal business name

COUNTY OF ARCHULETA

Practice address

502 S 8TH St
Pagosa Springs, CO 81147

Phone

(970) 264-8440

NPI assigned

Oct 16, 2023

Organization subpart

Yes

Parent organization

COUNTY OF ARCHULETAAs reported in NPPES

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

Authorized official

Name

Ashley Wilson, MPH

Title

Director of Public Health

Phone

(970) 264-8440

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

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

CLIA laboratory certificates

Tax ID family

Archuleta County Transportation2 organizations share this tax ID, including this one

Part of

Archuleta County Transportation

Other organizations with this tax ID 1

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

• Archuleta County Transportation

  • Bus
  • Pagosa Springs, CO
  • NPI 1861534109
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Scott Shaeffer, MD

  • Surgery Physician
  • Pagosa Springs, CO
  • NPI 1467657817
  Medicare reassignment NPD

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1184406159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1507",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "811471481",
            "telephone_number": "970-264-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 S 8TH ST",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "81147",
            "telephone_number": "970-264-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF ARCHULETA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF ARCHULETA",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "DIRECTOR OF PUBLIC HEALTH",
        "authorized_official_telephone_number": "970-264-8440",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "adminACPHD@archuletacounty.org",
            "affiliation": "N",
            "address_1": "502 S 8th St",
            "city": "Pagosa Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "81147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Barbara Conkey, DENTAL HYGIENIST
• Connection Matters LLC
• Sarah G Conti, M.A., L.P.C.
• Cornerstone Family Medicine LLC
• Counties of Archuleta & Hinsdale District 50 J F
• Lauren Crawford
• Angela Diedring Dahm, RDH
• Summer Damico
• Davenport Dental Hygiene
• Elizabeth Corene Davenport, RDH

• State or Local Public Health Clinic/Center in Pagosa Springs, CO
• Providers in Pagosa Springs, CO by specialty
• State or Local Public Health Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.