NPIMap

Organization Active NPI

Sedgwick County Health Center

  • Clinic/Center
  • Julesburg, CO
National Provider Identifier
1811150428
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SEDGWICK COUNTY HEALTH CENTER
Practice address
900 Cedar St
Julesburg, CO 80737-1121
Phone
(970) 474-3376
Fax
(970) 474-2758
NPI assigned
Jul 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Authorized official

Name
Debera Ione Nail
Title
Clinic Manager
Phone
(970) 474-3376

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X CO Primary

Addresses

Primary practice location

900 Cedar St
Julesburg, CO 80737-1121

Mailing address

900 Cedar St
Julesburg, CO 80737-1121
Phone (970) 474-3376

Other identifiers 1

IdentifierTypeStateIssuer
04010450MedicaidCO

Other names 1

  • Valley Medical Clinic Doing business as

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/95483bf0-dc8f-4b45-ba9e-bc3492402317/

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1811150428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CEDAR ST",
            "city": "JULESBURG",
            "state": "CO",
            "postal_code": "807371121",
            "telephone_number": "970-474-3376",
            "fax_number": "970-474-2758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CEDAR ST",
            "city": "JULESBURG",
            "state": "CO",
            "postal_code": "807371121",
            "telephone_number": "970-474-3376",
            "fax_number": "970-474-2758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEDGWICK COUNTY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-03",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "NAIL",
        "authorized_official_first_name": "DEBERA",
        "authorized_official_middle_name": "IONE",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "970-474-3376"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04010450",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Julesburg, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.