NORTHWEST COLORADO HEALTH DENTAL CLINIC - SOUTH ROUTT – NPI #1225528151
Clinic/Center

NORTHWEST COLORADO HEALTH DENTAL CLINIC - SOUTH ROUTT is an AHC clinic located in OAK CREEK, CO. NPPES has assigned the NPI number 1225528151 to NORTHWEST COLORADO HEALTH DENTAL CLINIC - SOUTH ROUTT on May 16, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “NORTHWEST COLORADO HEALTH DENTAL CLINIC - SOUTH ROUTT” is a dba name, the actual legal business name for this organization is NORTHWEST COLORADO VISITING NURSE ASSOCIATION. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 4 years ago on Jun 17, 2022. 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 NORTHWEST COLORADO HEALTH DENTAL CLINIC - SOUTH ROUTT below.

NPI Profile for
NORTHWEST COLORADO VISITING NURSE ASSOCIATION

NPI Number
1225528151
Enumeration Date

(more than 8 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
NORTHWEST COLORADO VISITING NURSE ASSOCIATION
Doing Business As (dba): NORTHWEST COLORADO HEALTH DENTAL CLINIC - SOUTH ROUTT
Primary location
300 MAIN STREET
OAK CREEK, CO 80467
Phone: (970) 824-8000 Fax: (970) 824-1179
Mailing address
745 RUSSELL ST
CRAIG, CO 81625-2019
Phone: (970) 824-8233 Fax: (970) 824-6184
Organization Subpart
Yes - NORTHWEST COLORADO HEALTH DENTAL CLINIC - SOUTH ROUTT is subpart of another organization.
Authorized Official
MATT MORRILL
CFO
Phone: (970) 871-7635
Updated
Certification Date
Jun 17, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)
261QD0000X
- Clinic/Center / Dental

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.