NPIMap

Organization Active NPI

Northwest Colorado Visiting Nurse Association

  • Federally Qualified Health Center (FQHC)
  • Oak Creek, CO
National Provider Identifier
1225528151
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
NORTHWEST COLORADO VISITING NURSE ASSOCIATION
Practice address
300 Main Street
Oak Creek, CO 80467
Phone
(970) 824-8000
Fax
(970) 824-1179
NPI assigned
May 16, 2018
Organization subpart
Yes
Parent organization
NORTHWEST COLORADO VISITING NURSE ASSOCIATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Authorized official

Name
Matt Morrill
Title
Cfo
Phone
(970) 871-7635

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

300 Main Street
Oak Creek, CO 80467

Mailing address

745 Russell St
Craig, CO 81625-2019
Phone (970) 824-8233

Other names 1

  • Northwest Colorado Health Dental Clinic - South Routt Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210615002953 CO Part A Provider - Federally Qualified Health Center (FQHC) 3173617883 Practice locations: Oak Creek, CO

Federally qualified health center certification: CCN 061022

Legal name
NORTHWEST COLORADO VISITING NURSE ASSOCIATION
Doing business as
NORTHWEST COLORADO HEALTH DENTAL CLINIC - SOUTH ROUTT
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 19, 2021
Last certification
May 19, 2021
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jun 3, 1964 in CO
Enrollment address
300 E Main St
Oak Creek, CO 80467

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
Northwest Colorado Visiting

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Matt Morrill Individual Corporate OfficerCfo May 9, 2022
W-2 Managing EmployeeCfo May 9, 2022
Victoria Klohr Individual Corporate DirectorBoard Member Nov 30, 2022
Lynn Dubinsky Individual Corporate DirectorBoard Member Oct 1, 2025
James David Park Individual Corporate DirectorBoard Member Sep 28, 2022
Elizabeth Plummer Individual Corporate DirectorBoard Member Oct 26, 2022
Northwest Colorado Visiting Nurse Association Organization, Oak Creek, CO Non-profit Operational/Managerial Control Feb 15, 2022
Rosalind D Leaming Individual Corporate DirectorBoard Member Oct 27, 2021
Arin Daigneau Individual Corporate OfficerCoo Oct 1, 2024
Erin Wilson Individual Corporate DirectorBoard Member Nov 25, 2020
Rebecca Lewis Individual Corporate DirectorBoard Member Nov 25, 2020
Erika Murphy Individual Corporate DirectorBoard Member Nov 30, 2022
Stephanie Einfeld Individual W-2 Managing EmployeeCeo Feb 16, 2018
Jesse Arthurs Individual Corporate DirectorBoard Member Aug 28, 2024

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Northwest Colorado Visiting Nurse AssociationSteamboat Springs, CO, CCN 065341 Skilled nursing facility 5% Or Greater Direct Ownership Interest
Operational/Managerial Control
Adp of the SNF		 Oct 1, 2024
Jul 1, 2025
Oct 1, 2024
Northwest Colorado HealthSteamboat Springs, CO, CCN 061924 Federally qualified health center Operational/Managerial Control Feb 15, 2022
Northwest Colorado HealthCraig, CO, CCN 061025 Federally qualified health center Operational/Managerial Control (100%) Mar 16, 2017

Owned or controlled facilities with NPI records 3

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

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 5

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": "1526428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655424000000",
    "number": "1225528151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 RUSSELL ST",
            "city": "CRAIG",
            "state": "CO",
            "postal_code": "816252019",
            "telephone_number": "970-824-8233",
            "fax_number": "970-824-6184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MAIN STREET",
            "city": "OAK CREEK",
            "state": "CO",
            "postal_code": "80467",
            "telephone_number": "970-824-8000",
            "fax_number": "970-824-1179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST COLORADO VISITING NURSE ASSOCIATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWEST COLORADO VISITING NURSE ASSOCIATION",
        "enumeration_date": "2018-05-16",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A",
        "authorized_official_last_name": "MORRILL",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "970-871-7635"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Colorado Health Dental Clinic - South Routt",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Creek, CO

Sources for this page

Verify at the official NPI Registry.