NPIMap

Organization Active NPI

Delta County Memorial Hospital

Doing business as Delta Health Family Medicine

  • Rural Health Clinic/Center
  • Delta, CO
National Provider Identifier
1891309183
Registry record updated Oct 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
DELTA COUNTY MEMORIAL HOSPITAL
Doing business as
Delta Health Rural Care Clinic
Practice address
296 Stafford LN
Delta, CO 81416-2243
Phone
(970) 874-5777
Fax
(970) 546-4030
NPI assigned
Sep 3, 2020
Last updated
Oct 28, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
DELTA COUNTY MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 28, 2026

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

Authorized official

Name
Jessica Zlomke
Title
Senior Clinic Manager
Phone
(970) 546-4029

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
Primary Care Clinic/Center 261QP2300X
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

296 Stafford LN
Delta, CO 81416-2243

Mailing address

PO Box 10100
Delta, CO 81416-0008
Phone (970) 874-2470

Other names 2

  • Delta Health Family Medicine Other name
  • Delta Health Rural Care Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200625002022 CO Part A Provider - Rural Health Clinic 1850200601 1 other NPI on this enrollment
Practice locations: Delta, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891309183. Details of each certification follow.

Rural health clinic certification: CCN 063420

Legal name
DELTA COUNTY MEMORIAL HOSPITAL
Doing business as
DELTA HEALTH RURAL CARE CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
May 28, 2020
Last certification
Nov 29, 2022
Ownership / control type
Non-profit – church related
Organization structure
GovernmentNon-profit
Incorporated
Oct 19, 2005 in CO
Enrollment address
296 Stafford LN
Delta, CO 81416-2243
Related CCNs
060071

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Delta Memorial Hospital14 organizations share this tax ID, including this one
Part of
Delta Memorial Hospital

Other organizations with this tax ID 13

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

View all 13

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

296 Stafford Ln
Delta, CO 81416
Phone (970) 874-4399

296 Stafford Ln
Unit A
Delta, CO 81416

70 Stafford Ln
Unit A
Delta, CO 81416
Phone (970) 874-6008

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Nathaniel Walton Individual Corporate OfficerBoard Member May 15, 2023
Julie Huffman Individual Corporate OfficerCeo May 15, 2023
W-2 Managing EmployeeInterim Ceo Apr 1, 2021
Nicholas Colleran Individual Operational/Managerial ControlChief Operating Officer Dec 1, 2024
Matthew Soper Individual Corporate OfficerBoard Member May 15, 2022
Jonathan L Cohee Individual Corporate Officer Jul 8, 2024
Corporate Director Jul 8, 2024

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Delta Health Adult Primary CareDelta, CO, CCN 068525 Rural health clinic Operational/Managerial Control Jan 1, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793145600000",
    "number": "1891309183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10100",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814160008",
            "telephone_number": "970-874-2470",
            "fax_number": "970-874-2475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 STAFFORD LN",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814162243",
            "telephone_number": "970-874-5777",
            "fax_number": "970-546-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DELTA COUNTY MEMORIAL HOSPITAL",
        "enumeration_date": "2020-09-03",
        "last_updated": "2026-10-28",
        "certification_date": "2026-10-28",
        "status": "A",
        "authorized_official_last_name": "ZLOMKE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "SENIOR CLINIC MANAGER",
        "authorized_official_telephone_number": "970-546-4029"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delta Health Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Delta Health Rural Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Delta Health Family Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Delta, CO

Sources for this page

Verify at the official NPI Registry.