MT ROSE HEALTH CENTER
NPI 1225474901
Legal Medicine in Trinidad, CO

Q: What is Mt Rose Health Center's NPI number?

The NPI number for Mt Rose Health Center is 1225474901. It was assigned to this organization in the NPPES registry on May 21, 2013.

Q: What is Mt Rose Health Center's specialty?

The primary specialty registered for this NPI is Legal Medicine with taxonomy code 173000000X.

Active since May 21, 2013CLIA 06D2101303 · Waiver

409 BENEDICTA AVE, SUITE A, TRINIDAD, CO 81082(719) 846-8478(719) 846-2941 Get Directions Write a Review

NPPES record last updated: May 21, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Mt Rose Health Center NPPES

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

MT ROSE HEALTH CENTER (NPI 1225474901) is a healthcare organization registered as a legal medicine in Trinidad, Colorado and active in the NPI registry since May 2013. The organization holds a CLIA Waiver certificate valid through September 28, 2028 and lists Valerie Jean Borsa, Owner, as its authorized official.

NPPES Registry Identity

NPI1225474901

Entity TypeOrganization

Primary Taxonomy173000000X

Legal Business NameMT ROSE HEALTH CENTER

Location Address409 BENEDICTA AVE, SUITE ATrinidad, CO 81082-0000

Mailing Address409 Benedicta Ave, Suite ATrinidad, CO 81082-0000 · (719) 846-8478 · Fax (719) 846-2941

Phone(719) 846-8478

Fax(719) 846-2941

Organization SubpartNo

Authorized OfficialValerie Jean BorsaOwner · (719) 846-8478

Enumeration DateMay 21, 2013

✔ NPI 1225474901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLegal MedicineOther Service Providers

Taxonomy Code173000000X

License✔ Licensed in CO · 38779

Definition

The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.

409 BENEDICTA AVE, Trinidad, CO 81082

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mt Rose Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateColoradoEnrollment IDO20131126000576Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mt Rose Health Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Valerie Borsa, M.D.

Internal Medicine

NPI 1265490676

409 BENEDICTA AVE SUITE A
Trinidad, CO 81082

(719) 846-8478

✔ PECOS✔ Accepts MedicareSame address

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 06D2101303

Mt Rose Health Center · Trinidad, CO

Active · expires Sep 28, 2028

CLIA Number06D2101303

Laboratory TypePhysician Office

Certificate Effective DateSeptember 29, 2026

Certificate Expiration DateSeptember 28, 2028

Laboratory DirectorValerie J. Borsa

Laboratory Phone(719) 846-8478

Laboratory LocationMt Rose Health Center1114 E Main St, Trinidad, CO 81082

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Mt Rose Health Center's NPI number?

The NPI number for Mt Rose Health Center is 1225474901. It was assigned to this organization in the NPPES registry on May 21, 2013.

Where is Mt Rose Health Center located?

Mt Rose Health Center is located at 409 Benedicta Ave Suite A, Trinidad, CO 81082. The listed phone number is (719) 846-8478.

What is Mt Rose Health Center's specialty?

The primary specialty registered for this NPI is Legal Medicine with taxonomy code 173000000X.

Is Mt Rose Health Center enrolled in Medicare?

Yes. Mt Rose Health Center is registered in the Medicare PECOS enrollment system.

When is Mt Rose Health Center's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Colorado, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Mt Rose Health Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Mt Rose Health Center. 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 Mt Rose Health Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2101303) is associated with this NPI, valid through September 28, 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 Mt Rose Health Center was last updated on May 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.