Prowers County Nursing

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

PROWERS COUNTY NURSING

Doing business as

Prowers County Public Health

Practice address

1001 S Main St
Lamar, CO 81052-3838

Phone

(719) 336-8721

Fax

(719) 336-9763

NPI assigned

Dec 13, 2005

Last updated

Feb 13, 2017By 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

Jo Lynn Idler

Title

Director of Business Operations

Phone

(719) 336-8721

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Prowers County Public Health Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Prowers County3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Prowers County

  • Non-emergency Medical Transport (VAN)
  • Lamar, CO
  • NPI 1700137445
  NPD tax ID
• Prowers County Public Health Oltc

  • Case Management Agency
  • Lamar, CO
  • NPI 1295510600
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Prowers County Public Health Oltc

  • Case Management Agency
  • Lamar, CO
  • NPI 1295510600
  NPPES parent name

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486944000000",
    "number": "1700861606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S MAIN ST",
            "city": "LAMAR",
            "state": "CO",
            "postal_code": "810523838",
            "telephone_number": "719-336-8721",
            "fax_number": "719-336-9763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S MAIN ST",
            "city": "LAMAR",
            "state": "CO",
            "postal_code": "810523838",
            "telephone_number": "719-336-8721",
            "fax_number": "719-336-9763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROWERS COUNTY NURSING",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-13",
        "last_updated": "2017-02-13",
        "status": "A",
        "authorized_official_last_name": "IDLER",
        "authorized_official_first_name": "JO LYNN",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS OPERATIONS",
        "authorized_official_telephone_number": "719-336-8721"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04451092",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prowers County Public Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Prowers County Hospital District (Lamar Medical Clinic)
• Prowers County Hospital District (Prowers Medical Equipment)
• Prowers County Hospital District (Prowers Medical Center)
• Prowers County Hospital District (Convenient Care Clinic)
• Prowers County Hospital District (Prowers Medical Center Family Rural Health Clinic)
• Prowers County Public Health Oltc
• Prowers Medical Center (Prowers Medical Center Womens Rural Health Clinic)
• Salvador Ramirez, DDS
• Phaetra Kafunya Raney, LCSW
• Roxie L Rankin II, RN MSN

• Public Health or Welfare Agency in Lamar, CO
• Providers in Lamar, CO by specialty
• Public Health or Welfare Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.