Organization Active NPI

Prowers County Public Health Oltc

  • Case Management Agency
  • Lamar, CO
National Provider Identifier
1295510600
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
PROWERS COUNTY PUBLIC HEALTH OLTC
Practice address
1001 S Main Street
Lamar, CO 81052
Phone
(719) 336-1015
NPI assigned
Aug 25, 2023
Last updated
Sep 26, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
PROWERS COUNTY NURSINGAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Authorized official

Name
Jo Lynn Idler
Title
Director of Operations
Phone
(719) 336-8721

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

1001 S Main Street
Lamar, CO 81052

Mailing address

1001 S Main Street
Lamar, CO 81052

National Provider Directory

National Provider Directory
Tax ID family
Prowers County3 organizations share this tax ID, including this one
Part of
Prowers County

Other organizations with this tax ID 2

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1692921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1295510600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S MAIN STREET",
            "city": "LAMAR",
            "state": "CO",
            "postal_code": "81052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S MAIN STREET",
            "city": "LAMAR",
            "state": "CO",
            "postal_code": "81052",
            "telephone_number": "719-336-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROWERS COUNTY PUBLIC HEALTH OLTC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROWERS COUNTY NURSING",
        "enumeration_date": "2023-08-25",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "IDLER",
        "authorized_official_first_name": "JO LYNN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "719-336-8721"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lamar, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.