NPIMap

Organization Active NPI

Montrose County School District Re-1J

  • Family Medicine Physician
  • Montrose, CO
National Provider Identifier
1225347339
Registry record updated Nov 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MONTROSE COUNTY SCHOOL DISTRICT RE-1J
Practice address
528 N Uncompahgre Ave
Montrose, CO 81401-3127
Phone
(970) 240-6438
NPI assigned
Oct 7, 2010
Organization subpart
Yes
Parent organization
MONTROSE COUNTY SCHOOL DISTRICT RE-1JAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 26, 2013

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

Authorized official

Name
Karin Slater
Title
Chief Financial Officer
Phone
(970) 252-7921

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

528 N Uncompahgre Ave
Montrose, CO 81401-3127

Mailing address

2233 E Main St
Montrose, CO 81401-3831
Phone (970) 249-3700

Other identifiers 2

IdentifierTypeStateIssuer
83121285MedicaidCO
05134064MedicaidCO

Other names 1

  • Northside Child Health Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Montrose County School District Re-1J3 organizations share this tax ID, including this one
Part of
Montrose County School District Re-1J

Other organizations with this tax ID 2

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

Locations

528 N Uncompahgre Ave
Montrose, CO 81401
Phone (970) 240-6438

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385424000000",
    "number": "1225347339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 E MAIN ST",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814013831",
            "telephone_number": "970-249-3700",
            "fax_number": "970-497-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 N UNCOMPAHGRE AVE",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814013127",
            "telephone_number": "970-240-6438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTROSE COUNTY SCHOOL DISTRICT RE-1J",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MONTROSE COUNTY SCHOOL DISTRICT RE-1J",
        "enumeration_date": "2010-10-07",
        "last_updated": "2013-11-26",
        "status": "A",
        "authorized_official_last_name": "SLATER",
        "authorized_official_first_name": "KARIN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "970-252-7921"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "83121285",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05134064",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northside Child Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montrose, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; 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.