COUNTY LINE HEALTH CLINIC
NPI 1124795836
Nurse Practitioner - Family in Wiley, CO
About County Line Health Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COUNTY LINE HEALTH CLINIC (NPI 1124795836) is a healthcare organization registered as a family in Wiley, Colorado and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through October 18, 2027 and lists Shelby Casper, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
CLIA Laboratory Certificates CMS CLIA
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 of Waiver 06D2240407
County Line Health Clinic · Wiley, COOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 County Line Health Clinic's NPI number?
The NPI number for County Line Health Clinic is 1124795836. It was assigned to this organization in the NPPES registry on August 30, 2021.
Where is County Line Health Clinic located?
County Line Health Clinic is located at 36053 Us Highway 287, Wiley, CO 81092. The listed phone number is (719) 688-9962.
What is County Line Health Clinic's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Does County Line Health Clinic hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 06D2240407) is associated with this NPI, valid through October 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for County Line Health Clinic was last updated on December 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# County Line Health Clinic · NPI 1124795836
Family organization in Wiley, Colorado. Organization record, active in the CMS NPPES registry since August 30, 2021.
## Identity
- **NPI:** 1124795836 (Entity type: Organization)
- **Enumerated:** August 30, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Shelby Casper, OWNER
## Practice location
- **Address:** 36053 US HIGHWAY 287, Wiley, CO 81092-9702
- **Phone:** (719) 688-9962
## Record status
- **NPPES last updated:** December 9, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1124795836) · Data from the CMS NPPES public registry.