Southern Teller County Health Services District

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SOUTHERN TELLER COUNTY HEALTH SERVICES DISTRICT

Practice address

700 North a Street
Cripple Creek, CO 80813

Phone

(719) 689-2931

Fax

(719) 689-3702

NPI assigned

Nov 24, 2009

Organization subpart

Yes

Parent organization

CRIPPLE CREEK CARE CENTERAs reported in NPPES

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

Authorized official

Name

Mr. Lawrence Cowan

Title

Nursing Home Administrator

Phone

(719) 689-2931

Specialties & licenses 1

Addresses

Other names 1

• Cripple Creek Home Health Care Doing business as

Part of

SW Teller County Emerg

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

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549497600000",
    "number": "1447588769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 NORTH A STREET",
            "address_2": "P O BOX 397",
            "city": "CRIPPLE CREEK",
            "state": "CO",
            "postal_code": "808130397",
            "telephone_number": "719-689-2931",
            "fax_number": "719-689-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 NORTH A STREET",
            "city": "CRIPPLE CREEK",
            "state": "CO",
            "postal_code": "80813",
            "telephone_number": "719-689-2931",
            "fax_number": "719-689-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN TELLER COUNTY HEALTH SERVICES DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CRIPPLE CREEK CARE CENTER",
        "enumeration_date": "2009-11-24",
        "last_updated": "2019-02-07",
        "status": "A",
        "authorized_official_last_name": "COWAN",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "NURSING HOME ADMINISTRATOR",
        "authorized_official_telephone_number": "719-689-2931",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cripple Creek Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cripple Creek Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Poudre Valley Medical Group, LLC
• Premier Rural Family Medical & Dental Care, LLC
• Robert Paul Reid, M.D.
• Root Groove, PLLC
• Jill Elaine Saylor, FNP-BC, NP-C
• Southern Teller County Health Services District
• Southwest Teller County Emergency Medical Services
• Southwest Teller County Emergency Medical Services
• Lance R Stewart
• Amy Terry, RN

• Home Health Agency in Cripple Creek, CO
• Providers in Cripple Creek, CO by specialty
• Home Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; 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.