SAN JUAN BASIN HEALTH DEPARTMENT – NPI #1730101726
Clinic/Center

SAN JUAN BASIN HEALTH DEPARTMENT is an AHC clinic located in DURANGO, CO. NPPES has assigned the NPI number 1730101726 to SAN JUAN BASIN HEALTH DEPARTMENT on July 25, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 12 years ago on Sep 22, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SAN JUAN BASIN HEALTH DEPARTMENT below.

NPI Profile for
SAN JUAN BASIN HEALTH DEPARTMENT

NPI Number
1730101726
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SAN JUAN BASIN HEALTH DEPARTMENT
Primary location
701 CAMINO DEL RIO
SOUTHWEST SMILE MAKERS
DURANGO, CO 81301
Phone: (970) 385-4480 Fax: (970) 247-7882
Mailing address
281 SAWYER DR.
DURANGO, CO 81303-3409
Phone: (970) 247-5702 Fax: (970) 247-9126
Organization Subpart
Yes - SAN JUAN BASIN HEALTH DEPARTMENT is subpart of another organization.
Authorized Official
LIANE JOLLON
EXECUTIVE DIRECTOR
Phone: (970) 247-5702
Updated
Identifiers

Identifiers for SAN JUAN BASIN HEALTH DEPARTMENT

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCO96635339
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.