NPIMap

Organization Active NPI

Eastern Rio Blanco County Health Service District

  • Respite Care
  • Meeker, CO
National Provider Identifier
1710081070
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
EASTERN RIO BLANCO COUNTY HEALTH SERVICE DISTRICT
Practice address
100 Pioneers Medical Center Dr
Meeker, CO 81641-3181
Phone
(970) 878-5047
Fax
(970) 878-3285
NPI assigned
Sep 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Authorized official

Name
Elizabeth L Sellers
Title
Ceo
Phone
(970) 878-9260

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0474 CO
Respite Care 385H00000X Primary

Addresses

Primary practice location

100 Pioneers Medical Center Dr
Meeker, CO 81641-3181

Mailing address

100 Pioneers Medical Center Dr
Meeker, CO 81641-3181
Phone (970) 878-5047

Other identifiers 1

IdentifierTypeStateIssuer
68523238MedicaidCO

Other names 1

  • Walbridge Memorial Convalescent Wing Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Eastern Rio Blanco County Health Service District10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

NPI Registry JSON

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702857600000",
    "number": "1710081070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PIONEERS MEDICAL CENTER DR",
            "city": "MEEKER",
            "state": "CO",
            "postal_code": "816413181",
            "telephone_number": "970-878-5047",
            "fax_number": "970-878-3285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PIONEERS MEDICAL CENTER DR",
            "city": "MEEKER",
            "state": "CO",
            "postal_code": "816413181",
            "telephone_number": "970-878-5047",
            "fax_number": "970-878-3285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN RIO BLANCO COUNTY HEALTH SERVICE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A",
        "authorized_official_last_name": "SELLERS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "970-878-9260"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CO",
            "license": "0474",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "68523238",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walbridge Memorial Convalescent Wing",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Walbridge Memorial Convalescent Wing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meeker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.