1. Home
  2. Directory
  3. Colorado
  4. Lake City
  5. Clinic Center
  6. NPI Profile

LAKE CITY AREA MEDICAL CENTER
NPI 1790767192
Clinic/Center - Rural Health in Lake City, CO

Active since November 19, 2005
700 N HENSON, LAKE CITY, CO 81235(970) 944-2331(970) 944-2320 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 3, 2024, Jan 23, 2017 (2 updates tracked since 2017).

About Lake City Area Medical Center NPPES

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

LAKE CITY AREA MEDICAL CENTER (NPI 1790767192) is a healthcare organization registered as a rural health in Lake City, Colorado and active in the NPI registry since November 2005. The organization lists Beuford T Durmon, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1790767192
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameLAKE FORK HEALTH SERVICES DISTRICT
Location Address700 N HENSONLake City, CO 81235-0999
Mailing AddressPo Box 999Lake City, CO 81235-0999 · (970) 944-2331 · Fax (970) 944-2331
Phone(970) 944-2331
Fax(970) 944-2320
Organization SubpartNo
Authorized OfficialBeuford T DurmonMedical Director · (970) 944-2331
Enumeration DateNovember 19, 2005
Last NPPES UpdateDecember 3, 20242 updates tracked since enumeration
NPPES CertifiedDecember 3, 2024
✔ NPI 1790767192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedClinic/Center · DentalTaxonomy 261QD0000X
700 N HENSON, Lake City, CO 81235
Open in Google Maps ↗

Other Names 1

Doing Business AsLake City Area Medical Center

Other Identifiers 1

Medicaid66109019CO

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lake City Area Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Lake City Area Medical Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Sherry Huisman, FNP-BC
Nurse Practitioner
NPI 1134596562
700 N HENSON ST
Lake City, CO 81235
(970) 944-2331
✔ PECOS✔ Accepts MedicareSame address
Ann Treisman, MD
Hospitalist
NPI 1093243982
711 N TAYLOR ST
Gunnison, CO 81230
(970) 641-1456
✔ PECOS✔ Accepts Medicare42 mi
Jessie Reines, FNP
Nurse Practitioner
NPI 1457032435
947 S 5TH ST
Montrose, CO 81401
(970) 249-2421
✔ PECOS✔ Accepts Medicare43 mi
Michelle Mullins, NP
Nurse Practitioner
NPI 1497159834
300 S NEVADA AVE
Montrose, CO 81401
(970) 249-7751
✔ PECOS✔ Accepts Medicare43 mi

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 Compliance 06D0644463

Lake City Area Medical Center · Lake City, CO
Expired · Sep 30, 2026
CLIA Number06D0644463
Laboratory TypeRural Health Clinic
Certificate Effective DateJune 28, 2024
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorDr. Anne Treisman
Laboratory Phone(970) 944-2331
Laboratory LocationLake City Area Medical Center700 N Henson St, Lake City, CO 81235
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Lake Fork Health Services District's NPI number?

The NPI number for Lake Fork Health Services District is 1790767192. It was assigned to this organization in the NPPES registry on November 19, 2005. The provider is doing business as Lake City Area Medical Center.

Where is Lake Fork Health Services District located?

Lake Fork Health Services District is located at 700 N Henson, Lake City, CO 81235. The listed phone number is (970) 944-2331.

What is Lake Fork Health Services District's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Lake Fork Health Services District enrolled in Medicare?

Yes. Lake Fork Health Services District is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lake Fork Health Services District?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Lake Fork Health Services District. 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. The largest specialties are Nurse Practitioner (3) and Hospitalist (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lake Fork Health Services District was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.