NPIMap

Organization Active NPI

San Juan Basin Health Department

  • State or Local Public Health Clinic/Center
  • Durango, CO
National Provider Identifier
1457411035
Registry record updated Sep 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
SAN JUAN BASIN HEALTH DEPARTMENT
Practice address
281 Sawyer Dr
Durango, CO 81303-3409
Phone
(970) 247-5702
Fax
(970) 247-9126
NPI assigned
Dec 12, 2006
Last updated
Sep 22, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
SAN JUAN BASIN HEALTH DEPARTMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 22, 2014

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

Authorized official

Name
Ms. Liane Jollon
Title
Executive Director
Phone
(970) 247-5702

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X Primary

Addresses

Primary practice location

281 Sawyer Dr
Durango, CO 81303-3409

Mailing address

281 Sawyer Dr.
Durango, CO 81303-3409
Phone (970) 247-5702

Other identifiers 1

IdentifierTypeStateIssuer
04006664MedicaidCO

Other names 1

  • San Juan Basin Health Other name

National Provider Directory

National Provider Directory
Tax ID family
San Juan Basin Health D5 organizations share this tax ID, including this one
Part of
San Juan Basin Health D

Other organizations with this tax ID 4

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": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411344000000",
    "number": "1457411035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 SAWYER DR.",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813033409",
            "telephone_number": "970-247-5702",
            "fax_number": "970-247-9126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 SAWYER DR",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813033409",
            "telephone_number": "970-247-5702",
            "fax_number": "970-247-9126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JUAN BASIN HEALTH DEPARTMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAN JUAN BASIN HEALTH DEPARTMENT",
        "enumeration_date": "2006-12-12",
        "last_updated": "2014-09-22",
        "status": "A",
        "authorized_official_last_name": "JOLLON",
        "authorized_official_first_name": "LIANE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "970-247-5702",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04006664",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Juan Basin Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; 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.