NPIMap

Organization Active NPI

Eastern Rio Blanco County Health Service District

  • Skilled Nursing Facility
  • Meeker, CO
National Provider Identifier
1306944822
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
EASTERN RIO BLANCO COUNTY HEALTH SERVICE DISTRICT
Practice address
100 Pioneers Medical Center Dr
Meeker, CO 81641-3181
Phone
(970) 878-5047
Fax
(970) 878-3285
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Authorized official

Name
Elizabeth L Sellers
Title
Ceo
Phone
(970) 878-9260

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Acute Care Hospital 282NR1301X 0395 CO
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

100 Pioneers Medical Center Dr
Meeker, CO 81641-3181

Mailing address

100 Pioneers Medical Center Dr
Meeker, CO 81641-3181
Phone (970) 878-5047

Other identifiers 1

IdentifierTypeStateIssuer
50972260MedicaidCO

Other names 1

  • Pioneers Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070314000258 CO Part B Supplier - Clinic/Group Practice 0345249751 Receives reassigned benefits from 59 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Craig, CO; Meeker, CO
O20080310000686 CO Part A Provider - Critical Access Hospital 0345249751 1 other NPI on this enrollment
Practice locations: Meeker, CO

Hospital certification: CCN 06Z325

Legal name
EASTERN RIO BLANCO COUNTY HEALTH SERVICE DISTRICT
Doing business as
PIONEERS MEDICAL CENTER
Organization structure
OtherNon-profit
Enrollment address
100 Pioneers Medical Center Dr
Meeker, CO 81641-3181
Other Hospital Practice Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

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

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Eastern Rio Blanco County Health Service District Organization, Meeker, CO 5% Or Greater Direct Ownership Interest Jan 1, 2007
Lionel Montoya Individual Operational/Managerial ControlCfo Oct 25, 2021
Danette Coulter Individual Corporate DirectorRevenue Cycle Director Feb 23, 2011
W-2 Managing Employee Feb 23, 2011
Liz Sellers Individual Contracted Managing EmployeeCeo May 1, 2020
Corporate OfficerCeo May 1, 2020

Owners & managing parties with NPI records 4

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

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Walbridge Memorial Convalescent WingMeeker, CO, CCN 065264 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Aug 31, 2021
Aug 31, 2021
Meeker Family Health CenterMeeker, CO, CCN 063403 Rural health clinic Operational/Managerial Control (100%) Jan 1, 2007

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 2

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

Practitioners & affiliated clinicians

Practitioners 15

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

View all 15

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1306944822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PIONEERS MEDICAL CENTER DR",
            "city": "MEEKER",
            "state": "CO",
            "postal_code": "816413181",
            "telephone_number": "970-878-5047",
            "fax_number": "970-878-3285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PIONEERS MEDICAL CENTER DR",
            "city": "MEEKER",
            "state": "CO",
            "postal_code": "816413181",
            "telephone_number": "970-878-5047",
            "fax_number": "970-878-3285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN RIO BLANCO COUNTY HEALTH SERVICE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A",
        "authorized_official_last_name": "SELLERS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "970-878-9260"
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "CO",
            "license": "0395",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50972260",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pioneers Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pioneers Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meeker, CO

Sources for this page

Verify at the official NPI Registry.