NPIMap

Organization Active NPI

Lake County Government

Doing business as LAKE COUNTY PUBLIC HEALTH Agency

  • Public Health or Welfare Agency
  • Leadville, CO
National Provider Identifier
1851411458
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
LAKE COUNTY GOVERNMENT
Doing business as
LAKE COUNTY PUBLIC HEALTH Agency
Practice address
735 US Highway 24
Leadville, CO 80461-3978
Phone
(719) 486-2413
Fax
(719) 486-4168
NPI assigned
Mar 29, 2007
Last updated
Dec 2, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
LAKE COUNTY GOVERNMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Authorized official

Name
Julie Gonzales
Title
Finance and Grants Manager
Phone
(719) 486-2413

Specialties & licenses 1

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

Addresses

Primary practice location

735 US Highway 24
Leadville, CO 80461-3978

Mailing address

PO Box 626
Leadville, CO 80461-0626
Phone (719) 486-2413

Other names 1

  • LAKE COUNTY PUBLIC HEALTH Agency Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040928000577 CO Part B Supplier - Mass Immunization (Roster Biller Only) 1254300155 Practice locations: Leadville, CO

National Provider Directory

National Provider Directory
Tax ID family
Lake County Government4 organizations share this tax ID, including this one
Part of
Lake County Government

Other organizations with this tax ID 3

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

Locations

112 W 5th St
Leadville, CO 80461
Phone (719) 486-0118

Practitioners & affiliated clinicians

Practitioners 12

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": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764633600000",
    "number": "1851411458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 626",
            "city": "LEADVILLE",
            "state": "CO",
            "postal_code": "804610626",
            "telephone_number": "719-486-2413",
            "fax_number": "719-486-4168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 US HIGHWAY 24",
            "city": "LEADVILLE",
            "state": "CO",
            "postal_code": "804613978",
            "telephone_number": "719-486-2413",
            "fax_number": "719-486-4168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE COUNTY GOVERNMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAKE COUNTY GOVERNMENT",
        "enumeration_date": "2007-03-29",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "FINANCE AND GRANTS MANAGER",
        "authorized_official_telephone_number": "719-486-2413"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAKE COUNTY PUBLIC HEALTH Agency",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LAKE COUNTY PUBLIC HEALTH Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leadville, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; 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.