Kit Carson County Dept. of Public Health and Envorniment
Organization Active NPI Public Health or Welfare Agency · Burlington, CO
NPI 1851363865 · NPPES record last updated Jul 27, 2021
Key facts
- NPI
- 1851363865
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Public Health or Welfare Agency 251K00000X
- Legal business name
- KIT CARSON COUNTY DEPT. OF PUBLIC HEALTH AND ENVORNIMENT
- Practice address
- 252 S. 14TH Street
Burlington, CO 80807 - Phone
- (719) 346-7158
- Fax
- (719) 346-8066
- NPI assigned
- Feb 3, 2006
- Organization subpart
- No
Authorized official
- Name
- Dawn M James, CNO
- Title
- Director
- Phone
- (719) 346-7642
Corporate family (same tax ID) 1
Member of 1
Practitioners 1
-
Dawn M James, APN, CNS
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120206000693 | CO | Part B Supplier - Mass Immunization (Roster Biller Only) | 0345407102 | Practice locations: Burlington, CO |
| O20170427000227 | CO | Part B Supplier - Clinic/Group Practice | 0345407102 |
Receives reassigned benefits from 1 practitioner Practice locations: Burlington, CO |
National Provider Directory
- Tax ID family
- Kit Carson Cnty Dept
Locations
252 S 14th St
Burlington, CO 80807
Phone (719) 346-7158
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Yes |
Addresses
Primary practice location
252 S. 14TH Street
Burlington, CO 80807
Mailing address
252 S. 14TH Street
Burlington, CO 80807
Phone (719) 346-7158
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04010641 | Medicaid | CO | |
| 04470092 | Medicaid | CO |
Other names
- Kit Carson County Health and Human Services
Other providers in Burlington, CO
- Jones & Williams Optometrists PC
- K & H Mason PC
- K & H Mason PC
- Delores A Kaster
- Kit Carson County Dept. of Public Health and Envorniment
- Kit Carson County Health and Human Services
- Kit Carson County Health Service District
- Kit Carson County Health Service District
- Kit Carson County Health Services District
- Kit Carson County Health Services District
All providers in Burlington, CO · Public Health or Welfare Agency in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.