COLORADO MOUNTAIN HEALTH
NPI 1124892526
Clinic/Center - Multi-Specialty in Canon City, CO
About Colorado Mountain Health NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COLORADO MOUNTAIN HEALTH (NPI 1124892526) is a healthcare organization registered as a multi-specialty in Canon City, Colorado and active in the NPI registry since November 2023. The organization holds a CLIA Waiver certificate valid through March 13, 2028 and lists David Caughman, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Colorado Mountain Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Colorado Mountain Health, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 06D2300717
Colorado Mountain Health · Canon City, COFrequently 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 Colorado Mountain Health's NPI number?
The NPI number for Colorado Mountain Health is 1124892526. It was assigned to this organization in the NPPES registry on November 7, 2023.
Where is Colorado Mountain Health located?
Colorado Mountain Health is located at 115 S 7th St Ste 112, Canon City, CO 81212. The listed phone number is (719) 299-0988.
What is Colorado Mountain Health's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Colorado Mountain Health enrolled in Medicare?
Yes. Colorado Mountain Health is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Colorado Mountain Health?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Colorado Mountain Health. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Colorado Mountain Health hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 06D2300717) is associated with this NPI, valid through March 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Colorado Mountain Health was last updated on November 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.
# Colorado Mountain Health · NPI 1124892526
Multi-Specialty organization in Canon City, Colorado. Organization record, active in the CMS NPPES registry since November 7, 2023.
## Identity
- **NPI:** 1124892526 (Entity type: Organization)
- **Enumerated:** November 7, 2023
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** David Caughman, OFFICE MANAGER
## Practice location
- **Address:** 115 S 7TH ST STE 112, Canon City, CO 81212-3782
- **Phone:** (719) 299-0988
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 1, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1124892526) · Data from the CMS NPPES public registry.