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TELLER COUNTY PUBLIC HEALTH
NPI 1104998822
Clinic/Center - Public Health, State or Local in Divide, CO

Active since November 15, 2006CLIA Certified · 2 labs
11115 W. HIGHWAY 24, UNIT 2C, DIVIDE, CO 80814(719) 687-6416(719) 687-6501 Get Directions Write a Review

NPPES record last updated: April 8, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Teller County Public Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TELLER COUNTY PUBLIC HEALTH (NPI 1104998822) is a healthcare organization registered as a public health, state or local in Divide, Colorado and active in the NPI registry since November 2006. The organization holds 2 active CLIA laboratory certificates and lists Christina Goettge Rubin, Director, as its authorized official.

NPPES Registry Identity

NPI1104998822
Entity TypeOrganization
Primary Taxonomy261QP0905X
Legal Business NameTELLER COUNTY
Location Address11115 W. HIGHWAY 24, UNIT 2CDivide, CO 80814
Mailing AddressPo Box 928Divide, CO 80814-0928 · (719) 687-6416 · Fax (719) 687-6501
Phone(719) 687-6416
Fax(719) 687-6501
Organization SubpartNo
Authorized OfficialChristina Goettge RubinDirector · (719) 687-6416
Enumeration DateNovember 15, 2006
Last NPPES UpdateApril 8, 2010
✔ NPI 1104998822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Public Health, State or LocalAmbulatory Health Care Facilities
Taxonomy Code261QP0905X
License✔ Licensed in CO · 04540548
11115 W. HIGHWAY 24, Divide, CO 80814
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Other Names 1

Doing Business AsTeller County Public Health

Other Identifiers 2

Medicaid04540548CO
Medicare UPIN04540548

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 06D0666611

Teller County Public Health & Environment · Divide, CO
Active · expires Oct 2, 2027
CLIA Number06D0666611
Laboratory TypePublic Health Laboratories
Certificate Effective DateOctober 3, 2025
Certificate Expiration DateOctober 2, 2027
Laboratory DirectorAmber M. Wolff
Laboratory Phone(719) 687-6416
Laboratory LocationTeller County Public Health & Environment11115 W Hwy 24, Unit 2C, Divide, CO 80814
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 06D2031345

Teller County Jail · Divide, CO
Active · expires Oct 17, 2027
CLIA Number06D2031345
Laboratory TypePrison
Certificate Effective DateOctober 18, 2025
Certificate Expiration DateOctober 17, 2027
Laboratory DirectorJohn Fenton
Laboratory Phone(719) 304-5773
Laboratory LocationTeller County Jail288 Weaverville Road, Divide, CO 80814
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMBER MICHELLE WOLFF WHNP-BC
Nurse Practitioner (Obstetrics & Gynecology)
11115 W. HIGHWAY 24, UNIT 2C
DIVIDE, CO 80814
Teller County (719) 687-6416

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Teller County's NPI number?

The NPI number for Teller County is 1104998822. It was assigned to this organization in the NPPES registry on November 15, 2006. The provider is doing business as Teller County Public Health.

Where is Teller County located?

Teller County is located at 11115 W. Highway 24 Unit 2C, Divide, CO 80814. The listed phone number is (719) 687-6416.

What is Teller County's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Public Health, State or Local, with taxonomy code 261QP0905X.

Does Teller County hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Teller County was last updated on April 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.