STATE OF COLORADO (NPI# 1396995601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396995601 |
| Entity Type | Organization |
| Organization Name | STATE OF COLORADO |
| Other Organization Name | OTERO JUNIOR COLLEGE CHILD DEVELOPMENT SERVICES |
| Practice Address |
1802 Colorado Ave La Junta CO 81050-3400 |
| Practice Telephone | 7193843102 |
| Practice Fax Number | 7193841096 |
| Mailing Telephone | 7193843102 |
| Mailing Fax Number | 7193841096 |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2008-09-23 |
| Authorized Official Name | MR. JAMES RIZZUTO (PRESIDENT) |
| Authorized Official Telephone | 7193846822 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 06D1089569 | CO | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 94654395 | 05 |
| Other Name | Type Code |
|---|---|
| Otero Junior College Child Development Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285168583 | State of Colorado | Point of Service | 1575 Sherman Street, Cdhs, Denver, CO 80203 | 2017-04-13 |
| 1750427654 | State of Colorado | Local Education Agency (LEA) | 33 N Institute St, Colorado Springs, CO 80903-3508 | 2007-01-29 |
| 1114085875 | State of Colorado | Skilled Nursing Facility | 3749 Sherman St, Monte Vista, CO 81144 | 2006-12-05 |
| 1508931536 | State of Colorado | Skilled Nursing Facility | 1919 Quentin Street, Aurora, CO 80045 | 2006-11-22 |
| 1033106760 | State of Colorado | Skilled Nursing Facility | 409 Benedicta Ave, Trinidad, CO 81082-2004 | 2005-09-27 |
| 1093702722 | State of Colorado | Skilled Nursing Facility | 851 East 5th Street, Rifle, CO 81650-2941 | 2005-09-27 |
| 1669470910 | State of Colorado | Skilled Nursing Facility | 903 Moore Dr, Florence, CO 81226-9509 | 2005-07-11 |
| 1053579177 | State of Colorado | Pharmacy | 1919 Quentin St, Aurora, CO 80045-7125 | 2008-05-27 |
| 1386818383 | State of Colorado | Non-emergency Medical Transport (VAN) | 409 Benedicta Ave, Trinidad State Nursing Home, Trinidad, CO 81082-2004 | 2008-04-22 |
| 1295917938 | State of Colorado | Pharmacy | 1600 W 24th St, Bldg 16, Pueblo, CO 81003-1411 | 2007-12-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | State of Colorado Foreclosures, LLC | 2525 Arapahoe Ave. Suite E4-402, Boulder, CO 80302 |
| Virginia Business Entities | STATE OF COLORADO INCORPORATED | 1215 Laurel Lane, Beverly Hills, California 90210 |
| Colorado Business Entities | STATE OF COLORADO INTERDISCIPLINARY COMMITTEE ON CHILD CUSTODY | 357 S. Mccaslin Blvd, Suite 200, Louisville, CO 80027 |
| Street Address |
1802 COLORADO AVE |
| City | LA JUNTA |
| State | CO |
| Zip Code | 81050-3400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225658057 | Poudre Valley Medical Group, LLC | Internal Medicine | 2315 San Juan Avenue, La Junta, CO 81050 | 2020-04-22 |
| 1316589567 | Southeast Mental Health Services | Clinic/Center | 721 Barnes Ave, La Junta, CO 81050 | 2019-10-09 |
| 1164945127 | Susan Ann Workman | Clinical Nurse Specialist | 13 West Third Street, Room 111, La Junta, CO 81050 | 2017-07-21 |
| 1952774465 | Ryan T Anderson Ddc PC | Clinic/Center | 13 E 4th St., La Junta, CO 81050 | 2015-11-05 |
| 1083086524 | Ryan Taylor Anderson | Dentist | 13 East 4th Street, La Junta, CO 81050 | 2015-10-23 |
| 1902287329 | Shanna Kay Riley | Case Manager/Care Coordinator | 711 Barnes Ave., La Junta, CO 81050 | 2015-06-11 |
| 1548668593 | Joseph Wayne Lee | Licensed Practical Nurse | 1203 Holt Ln, Lajunta, CO 81050 | 2014-12-08 |
| 1730506809 | Down To Earth Dentistry, LLC. | Dentist | 17 W. 4th St., La Junta, CO 81050 | 2014-03-26 |
| 1154668275 | Arkansas Valley Hearing Center, Inc | Hearing Aid Equipment | 408 West 3rd St, La Junta, CO 81050 | 2013-01-09 |
| 1710223698 | Timothy Eugene Kelley | Counselor | 313 West Third Street, Suite 204, La Junta, CO 81050 | 2012-12-20 |
| Find all providers in zip 81050 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750981718 | Boulder Community Health | Clinical Medical Laboratory | 6685 Gunpark Dr Ste 100, Boulder, CO 80301-3388 | 2020-10-29 |
| 1225637879 | Boulder Community Health | Clinical Medical Laboratory | 3 Superior Dr Ste 100, Superior, CO 80027-8653 | 2020-10-23 |
| 1639778921 | Denver Recovery Group LLC | Clinical Medical Laboratory | 56 E Arapahoe Rd, Littleton, CO 80122-8001 | 2020-10-19 |
| 1750990552 | Centennial State Lab, LLC | Clinical Medical Laboratory | 651 Corporate Cir Ste 104, Golden, CO 80401-5652 | 2020-07-28 |
| 1750905485 | 303 Diagnostics, LLC | Clinical Medical Laboratory | 1805 S Bellaire St Ste 222, Denver, CO 80222-4313 | 2020-05-28 |
| 1801419387 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 1030 Johnson Rd Ste 200, Golden, CO 80401-6007 | 2020-05-19 |
| 1639790835 | Bready Diagnostic Laboratory LLC | Clinical Medical Laboratory | 695 S Colorado Blvd Ste 250, Denver, CO 80246-8091 | 2020-04-29 |
| 1295354371 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 9950 W 80th Ave Ste 23, Arvada, CO 80005-3914 | 2020-04-09 |
| 1972138345 | University Physicians Incorporated | Clinical Medical Laboratory | 12705 E. Montview Blvd, Bioscience 2, Room 3106, Aurora, CO 80045-7108 | 2020-03-06 |
| 1164054896 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 13402 W Coal Mine Ave Ste 300, Littleton, CO 80127-5407 | 2020-02-11 |
| 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.