Otero County Health Department

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

251K00000X Issued in CO

Legal business name

OTERO COUNTY HEALTH DEPARTMENT

Practice address

13 W 3Rd St
Room 111 County Courthouse
La Junta, CO 81050-1536

Phone

(719) 383-3040

Fax

(719) 383-3060

NPI assigned

Sep 14, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Richard Ritter

Title

Executive Director

Phone

(719) 383-3045

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Tax ID family

Otero County Department of Human Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Otero County Department of Human Services

  • Case Management Agency
  • La Junta, CO
  • NPI 1003688185
  NPD tax ID
• Otero County Health Department

  • State or Local Public Health Clinic/Center
  • La Junta, CO
  • NPI 1023215472
  NPD tax ID

Locations

Practitioners 3

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

• Tarren Buford, LPN

  • Licensed Practical Nurse
  • La Junta, CO
  • NPI 1609548569
  NPD (past)
• Barbara Thimgan, RN

  • School Registered Nurse
  • La Junta, CO
  • NPI 1841497294
  NPD (past)
• Susan Ann Workman, RN

  • Community Health/Public Health Clinical Nurse Specialist
  • La Junta, CO
  • NPI 1164945127
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441843200000",
    "number": "1831294867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 W 3RD ST",
            "address_2": "ROOM 111 COUNTY COURTHOUSE",
            "city": "LA JUNTA",
            "state": "CO",
            "postal_code": "810501536",
            "telephone_number": "719-383-3040",
            "fax_number": "719-383-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 W 3RD ST",
            "address_2": "ROOM 111 COUNTY COURTHOUSE",
            "city": "LA JUNTA",
            "state": "CO",
            "postal_code": "810501536",
            "telephone_number": "719-383-3040",
            "fax_number": "719-383-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTERO COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2015-09-10",
        "status": "A",
        "authorized_official_last_name": "RITTER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "719-383-3045",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "CO",
            "license": "251K00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Opera House Pharmacy Co Inc
• Otero Chiropractic Clinic, PC
• Otero County Department of Human Services
• Otero County Department of Social Services
• Otero County Health Department
• Otero Emergency Group LLC
• Shanalee Dawn Ourso, M.A.
• Alonna Kaye Packard, B.S.
• Paragon Behavioral Health Connections
• Leigh Parker, MS, CCC-SLP

• Public Health or Welfare Agency in La Junta, CO
• Providers in La Junta, 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 10, 2015; 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.