NPIMap

Organization Active NPI

County of Costilla

  • Public Health or Welfare Agency
  • San Luis, CO
National Provider Identifier
1427722669
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
COUNTY OF COSTILLA
Practice address
233 Main Street, Suite C.
San Luis, CO 81152
Phone
(719) 672-3465
NPI assigned
Aug 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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

Authorized official

Name
Dr. Joseph Quintana, MD
Title
Supervising MD
Phone
(719) 672-3465

Specialties & licenses 1

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

Addresses

Primary practice location

233 Main Street, Suite C.
San Luis, CO 81152

Mailing address

PO Box 99
San Luis, CO 81152-0099
Phone (719) 672-3465

Other identifiers 1

IdentifierTypeStateIssuer
013044542MedicaidCO

Other names 1

  • Costilla County Public Health Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1627862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627862400000",
    "number": "1427722669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99",
            "city": "SAN LUIS",
            "state": "CO",
            "postal_code": "811520099",
            "telephone_number": "719-672-3465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 MAIN STREET, SUITE C.",
            "city": "SAN LUIS",
            "state": "CO",
            "postal_code": "81152",
            "telephone_number": "719-672-3465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF COSTILLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-02",
        "last_updated": "2021-08-02",
        "certification_date": "2021-07-07",
        "status": "A",
        "authorized_official_last_name": "QUINTANA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "SUPERVISING MD",
        "authorized_official_telephone_number": "719-672-3465",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013044542",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Costilla County Public Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Luis, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.