Las Animas-Huerfano Counties District Health Department

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

0268 Issued in CO

Legal business name

LAS ANIMAS-HUERFANO COUNTIES DISTRICT HEALTH DEPARTMENT

Practice address

412 Benedicta Ave
Trinidad, CO 81082-2005

Phone

(719) 846-2213

Fax

(719) 846-4472

NPI assigned

Dec 4, 2006

Last updated

Sep 30, 2024By 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

Ms. Kimberly Gonzales

Title

Executive Director

Phone

(719) 846-2213

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Louis Carlisle, M.D.

  • Family Medicine Physician
  • Pueblo, CO
  • NPI 1689622920
  Medicare reassignment NPD
• Glen Allen Mears, LCSW

  • Clinical Social Worker
  • Roswell, NM
  • NPI 1295734929
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1760540900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 BENEDICTA AVE",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810822005",
            "telephone_number": "719-846-2213",
            "fax_number": "719-846-4472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 BENEDICTA AVE",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810822005",
            "telephone_number": "719-846-2213",
            "fax_number": "719-846-4472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS ANIMAS-HUERFANO COUNTIES DISTRICT HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "719-846-2213",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "CO",
            "license": "0268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01224930",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07625375",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04411096",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78389721",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Las Animas County Department of Social Services
• Las Animas County Department of Social Services (Las Animas County Department of Human Services)
• Las Animas County Rehabilitation Center
• Las Animas County Rehabilitation Center (Alta Vista Alternatives)
• Las Animas Emergency Group LLC
• Karen Lavigne, L.M.T.
• Lees Hearing Solutions, LLC.
• Nancy Marie Lees
• Dillon Lemons, DC
• Grace Lemons, DC

• Public Health or Welfare Agency in Trinidad, CO
• Providers in Trinidad, 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 Sep 30, 2024; 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.