NPIMap

Organization Active NPI

Delta County Health Dept

  • Public Health or Welfare Agency
  • Delta, CO
National Provider Identifier
1770512964
Registry record updated Dec 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
DELTA COUNTY HEALTH DEPT
Practice address
255 W 6TH St
Delta, CO 81416-1626
Phone
(970) 874-2165
Fax
(970) 874-2175
NPI assigned
Jul 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2014

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

Authorized official

Name
Ms. Bonnie Horn Koehler
Title
Director
Phone
(970) 874-2167

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

255 W 6TH St
Delta, CO 81416-1626

Mailing address

255 W 6TH St
Delta, CO 81416-1626
Phone (970) 874-2165

Other identifiers 1

IdentifierTypeStateIssuer
04540225MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060323000313 CO Part B Supplier - Mass Immunization (Roster Biller Only) 4789692385 Practice locations: Delta, CO
O20250717002922 CO Part B Supplier - Clinic/Group Practice 4789692385 Receives reassigned benefits from 1 practitioner
Practice locations: Delta, CO

National Provider Directory

National Provider Directory
Tax ID family
Delta County Health Department2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417392000000",
    "number": "1770512964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W 6TH ST",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814161626",
            "telephone_number": "970-874-2165",
            "fax_number": "970-874-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W 6TH ST",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814161626",
            "telephone_number": "970-874-2165",
            "fax_number": "970-874-2175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA COUNTY HEALTH DEPT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2014-12-01",
        "status": "A",
        "authorized_official_last_name": "KOEHLER",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "HORN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "970-874-2167",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04540225",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delta, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; 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.