County of Chaffee

Primary specialty

State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X

Legal business name

COUNTY OF CHAFFEE

Doing business as

Chaffee County Public Health

Practice address

448 E 1St St
Suite 137
Salida, CO 81201-2804

Phone

(719) 539-4510

Fax

(719) 539-7197

NPI assigned

May 2, 2006

Last updated

Dec 7, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andrea Carlstrom, MBA

Title

Director

Phone

(719) 539-4510

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Chaffee County Public Health Doing business as

Medicare fee-for-service enrollment

Enrolled in CO2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 2

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

• County of Chaffee

  dba Chaffee County Emergency Medical Services

  • Land Ambulance
  • Salida, CO
  • NPI 1811598675

  1456536804

  Same PAC ID
• County of Chaffee

  • Land Ambulance
  • Salida, CO
  • NPI 1841270071

  1456536804

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

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

• County of Chaffee

  dba Chaffee County Emergency Medical Services

  • Land Ambulance
  • Salida, CO
  • NPI 1811598675

  O20120611000605

  Same enrollment

Locations

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449446400000",
    "number": "1609834449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 E 1ST ST",
            "address_2": "SUITE 137",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812012804",
            "telephone_number": "719-539-4510",
            "fax_number": "719-539-7197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 E 1ST ST",
            "address_2": "SUITE 137",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812012804",
            "telephone_number": "719-539-4510",
            "fax_number": "719-539-7197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF CHAFFEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2015-12-07",
        "status": "A",
        "authorized_official_last_name": "CARLSTROM",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "719-539-4510",
        "authorized_official_credential": "MBA"
    },
    "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": "04419099",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "600001932",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chaffee County Public Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren Cone, PMHNP
• Connectivity Counseling, LLC.
• Donna N Constance, RPH
• Amy B Cope, RPH
• County of Chaffee (Chaffee County Public Health)
• County of Chaffee (Chaffee County Emergency Medical Services)
• County of Chaffee
• Crest Counseling Services
• Justin Michael Critelli, LMT
• Crystal Creek Counseling , PC Inc.

• State or Local Public Health Clinic/Center in Salida, CO
• Providers in Salida, CO by specialty
• State or Local Public Health Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; 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.