Jason Keith Holt
Individual provider Active NPI Case Manager/Care Coordinator · Las Animas, CO
NPI 1679902001 · NPPES record last updated Nov 6, 2013
Key facts
- NPI
- 1679902001
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- License
- ACB.0007699 (CO)
- Practice address
- 30999 County Road 15
Las Animas, CO 81054-9499 - Phone
- (719) 662-1105
- Fax
- (719) 456-0109
- NPI assigned
- Nov 6, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACB.0007699 | CO | MD | Case Manager/Care Coordinator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado Coalition for the Homeless | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | ACB.0007699 | CO | Yes |
Addresses
Primary practice location
30999 County Road 15
Las Animas, CO 81054-9499
Mailing address
1101 Grace Ave
La Junta, CO 81050-3119
Phone (719) 468-2734
Other providers in Las Animas, CO
- Cassie Lane Elder
- Family Medical Services
- Steven Gallegos
- Lidia Gonzalez
- Riley Ortis Holmes
- Inspiration Field
- Inspiration Field
- Inspiration Field
- Shanyn Krieger
- Las Animas Bent County Fire Protection District
All providers in Las Animas, CO · Case Manager/Care Coordinator in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.