Bent County Public Health

Primary specialty

State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X

Legal business name

BENT COUNTY PUBLIC HEALTH

Practice address

701 S Park Ave
Las Animas, CO 81054-1575

Phone

(719) 456-0517

NPI assigned

Sep 27, 2022

Last updated

Sep 27, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melissa Vigil

Title

Finance Officer

Phone

(719) 456-0517

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Bent County Public Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Bent County Public Health

  • Case Management Agency
  • Las Animas, CO
  • NPI 1043920887
  NPD tax ID

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664236800000",
    "number": "1962126607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 S PARK AVE",
            "city": "LAS ANIMAS",
            "state": "CO",
            "postal_code": "810541575",
            "telephone_number": "719-456-0517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S PARK AVE",
            "city": "LAS ANIMAS",
            "state": "CO",
            "postal_code": "810541575",
            "telephone_number": "719-456-0517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENT COUNTY PUBLIC HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A",
        "authorized_official_last_name": "VIGIL",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "FINANCE OFFICER",
        "authorized_official_telephone_number": "719-456-0517"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05715008",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krista Lynn Bender, PHARMD
• Bent County Memorial Nursing Home (Bent County HealthCare Center)
• Bent County Memorial Nursing Home
• Bent County Public Health
• Bent County Public Health
• Colorado Coalition for the Homeless (Ft. Lyon)
• County of Bent School District Re-1
• Shelby D Davis
• Samantha Rae Didomenico, D.D.S.
• Karen L Donkle, NP

• State or Local Public Health Clinic/Center in Las Animas, CO
• Providers in Las Animas, CO by specialty
• State or Local Public Health Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.