Organization Active NPI

County of Cheyenne

Doing business as Cheyenne County Nursing Public Health

  • Public Health or Welfare Agency
  • Cheyenne Wells, CO
National Provider Identifier
1386706505
Registry record updated Apr 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
COUNTY OF CHEYENNE
Doing business as
Cheyenne County Nursing Public Health
Practice address
560 W 6 N
Cheyenne Wells, CO 80810
Phone
(719) 767-5616
Fax
(719) 767-8747
NPI assigned
Dec 14, 2006
Last updated
Apr 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2016

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

Authorized official

Name
Linda Roth, R.N.NPI 1962564005
Title
Administrator
Phone
(719) 767-5616

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

560 W 6 N
Cheyenne Wells, CO 80810

Mailing address

PO Box 38
Cheyenne Wells, CO 80810-0038
Phone (719) 767-5616

Other identifiers 1

IdentifierTypeStateIssuer
04540191MedicaidCO

Other names 1

  • Cheyenne County Nursing Public Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090730000169 CO Part B Supplier - Mass Immunization (Roster Biller Only) 9739267048 Practice locations: Cheyenne Wells, CO; Kit Carson, CO

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
County of Cheyenne2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460678400000",
    "number": "1386706505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38",
            "city": "CHEYENNE WELLS",
            "state": "CO",
            "postal_code": "808100038",
            "telephone_number": "719-767-5616",
            "fax_number": "719-767-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 W 6 N",
            "city": "CHEYENNE WELLS",
            "state": "CO",
            "postal_code": "80810",
            "telephone_number": "719-767-5616",
            "fax_number": "719-767-8747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF CHEYENNE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2016-04-15",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "719-767-5616",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04540191",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cheyenne County Nursing Public Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cheyenne Wells, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.