COLORADO DEPARTMENT OF CORRECTIONS (NPI# 1386196665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386196665 |
| Entity Type | Organization |
| Organization Name | COLORADO DEPARTMENT OF CORRECTIONS |
| Other Organization Name | LIMON CORRECTIONAL FACILITY |
| Practice Address |
49030 State Hwy 71 Limon CO 80826-0001 |
| Practice Telephone | 7197759221 |
| Mailing Telephone | 7197759221 |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2016-11-02 |
| Authorized Official Name | DR. JAMES RICHARD OTTEM (DENTIST) |
| Authorized Official Telephone | 7197757666 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | DEN.00104436 | CO | Managed Care Organizations |
| Other Name | Type Code |
|---|---|
| Limon Correctional Facility | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255831665 | Colorado Department of Corrections | Clinic/Center | 1250 Academy Park Loop, Colorado Springs, CO 80910-3708 | 2018-02-13 |
| 1669530192 | Colorado Department of Corrections | Clinic/Center | 1410 W 13th St, Pueblo, CO 81003-1961 | 2006-12-05 |
| 1033430442 | Colorado Department of Corrections | Exclusive Provider Organization | 1410 W 13th St, Pueblo, CO 81003-1961 | 2010-06-21 |
| Street Address |
49030 STATE HWY 71 |
| City | LIMON |
| State | CO |
| Zip Code | 80826-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316585607 | Nicole Lynn Rinehart | Nurse Practitioner | 49030 State Hwy 71, Limon, CO 80826-0001 | 2019-12-17 |
| 1548750706 | James Richard Ottem | Dentist | 49030 State Hwy 71, Limon, CO 80826-0001 | 2018-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235626466 | Jodie Lynn Gallegos | Registered Nurse | 49030 State Highway 71, Limon, CO 80826-0001 | 2018-04-13 |
| 1003230566 | Diana D Briscoe | Specialist | 355 D Ave, Limon, CO 80826-0001 | 2014-02-04 |
| 1346316130 | Anita Gay Bloor | Internal Medicine | Limon Correctional Facility, 49030 South Highway 71, Limon, CO 80826-0001 | 2006-11-26 |
| 1730549932 | Carla Vargas | Nurse Practitioner | 49030 Co-71, Limon, CO 80826-9361 | 2016-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306485131 | Lincoln Community Hospital Limon Family Practice | Family Medicine | 2110 6th Street, Limon, CO 80828 | 2019-12-26 |
| 1114490745 | Limon Area Fire Protection District | Ambulance | 130 C Ave, Limon, CO 80828-5059 | 2019-01-07 |
| 1730549932 | Carla Vargas | Nurse Practitioner | 49030 Co-71, Limon, CO 80826-9361 | 2016-03-01 |
| 1639538234 | Shelby Linnebur | Student in an Organized Health Care Education/Training Program | 555 F Ave, Limon, CO 80828 | 2016-02-11 |
| 1568831642 | Honest Oak LLC | Durable Medical Equipment & Medical Supplies | 333 M Ave, #100, Limon, CO 80828 | 2015-09-18 |
| 1619393196 | Mindy Kouri | Registered Nurse | 465 1st Ave, Limon, CO 80828-2100 | 2014-03-08 |
| 1083039747 | Eunoia | Durable Medical Equipment & Medical Supplies | 355 D Avenue, Limon, CO 80828 | 2014-03-04 |
| 1174950216 | Branon D Johnson Dds PC | Dentist | 170 E. Avenue, Limon, CO 80828 | 2013-10-03 |
| 1447682489 | Richard Carroll | Social Worker | 606 Main St., Limon, CO 80828 | 2013-08-01 |
| 1720421043 | Nicole Whitney Hood | Dentist | 170 E Ave., Box 309, Limon, CO 80828 | 2013-04-17 |
| Find all providers in LIMON | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
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| 1841829520 | 4 Winds / 5 Elements Counseling and Healing Arts Pllc | Point of Service | 2201 Kipling St Ste 204, Lakewood, CO 80215-1545 | 2020-04-05 |
| 1952953515 | Mary Brown | Point of Service | 2673 Del Mar Dr, Grand Junction, CO 81506-1721 | 2019-07-14 |
| 1285168583 | State of Colorado | Point of Service | 1575 Sherman Street, Cdhs, Denver, CO 80203 | 2017-04-13 |
| 1902339963 | Hti2, LLC Dba Pearle Vision Loveland | Point of Service | 1391 Sculptor Dr., Loveland, CO 80537 | 2017-04-06 |
| 1861941130 | Erx Consulting | Point of Service | 6133 E Mineral Dr, Centennial, CO 80112-3009 | 2016-09-28 |
| 1104287176 | Allfocus Holding LLC | Point of Service | 11015 Hill Gail Ct, Parker, CO 80138-7246 | 2016-03-17 |
| 1013377274 | Colorado Assisted Living Homes | Point of Service | 5596 W Indore Dr, Littleton, CO 80128-7030 | 2016-03-02 |
| 1104286376 | Colorado Assisted Living Homes | Point of Service | 7456 S Kendall Blvd, Littleton, CO 80128-4682 | 2016-03-02 |
| 1487014916 | Senior Living At The Pinery LLC | Point of Service | 6875 N Windview Cir, Parker, CO 80134-6337 | 2016-02-25 |
| 1992163596 | Colorado Assisted Living Homes | Point of Service | 5424 W Rowland Pl, Littleton, CO 80128-4958 | 2016-02-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.