Organization Active NPI

Health Services District of Northern Larimer County

Doing business as Health District of Northern Larimer County

  • Health Service Clinic/Center
  • Fort Collins, CO
National Provider Identifier
1821092495
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
HEALTH SERVICES DISTRICT OF NORTHERN LARIMER COUNTY
Doing business as
Health District of Northern Larimer County
Practice address
425 W Mulberry St
Fort Collins, CO 80521-2864
Phone
(970) 224-5209
Fax
(970) 472-0440
NPI assigned
Jun 10, 2005
Last updated
Nov 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Authorized official

Name
A Lorraine Haywood
Title
Finance Director
Phone
(970) 224-5209

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X NU
Dental Clinic/Center 261QD0000X NU
Health Service Clinic/Center 261QH0100X NU Primary

Addresses

Primary practice location

425 W Mulberry St
Fort Collins, CO 80521-2864

Mailing address

120 Bristlecone Dr
Fort Collins, CO 80524-2031
Phone (970) 224-5209

Other identifiers 1

IdentifierTypeStateIssuer
63884275MedicaidCO

Other names 1

  • Health District of Northern Larimer County Doing business as

National Provider Directory

National Provider Directory

Locations

123 N College Ave
#203
Fort Collins, CO 80524
Phone (970) 224-5209

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667433600000",
    "number": "1821092495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 BRISTLECONE DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805242031",
            "telephone_number": "970-224-5209",
            "fax_number": "970-472-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W MULBERRY ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805212864",
            "telephone_number": "970-224-5209",
            "fax_number": "970-472-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH SERVICES DISTRICT OF NORTHERN LARIMER COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-10",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A",
        "authorized_official_last_name": "HAYWOOD",
        "authorized_official_first_name": "A",
        "authorized_official_middle_name": "LORRAINE",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "970-224-5209"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "63884275",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health District of Northern Larimer County",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Health District of Northern Larimer County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.