SILVERTON AND SAN JUAN CO CLINIC
NPI 1811513880
Clinic/Center - Primary Care in Silverton, CO

Q: What is Silverton And San Juan Co Clinic's NPI number?

The NPI number for Silverton And San Juan Co Clinic is 1811513880. It was assigned to this organization in the NPPES registry on June 24, 2020. The provider is also known as Silverton Clinic.

Q: What is Silverton And San Juan Co Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since June 24, 2020CLIA 06D2310017 · Waiver

1315 SNOWDEN STREET, SILVERTON, CO 81433(970) 387-5114(970) 387-5036 Get Directions Write a Review

NPPES record last updated: June 24, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Silverton And San Juan Co Clinic NPPES

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

SILVERTON AND SAN JUAN CO CLINIC (NPI 1811513880) is a healthcare organization registered as a primary care in Silverton, Colorado and active in the NPI registry since June 2020. The organization holds a CLIA Waiver certificate valid through August 25, 2026 and lists Theresa Brokering, Board Member, as its authorized official.

NPPES Registry Identity

NPI1811513880

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameSILVERTON AND SAN JUAN CO CLINIC

Location Address1315 SNOWDEN STREETSilverton, CO 81433

Mailing AddressPo Box 964Silverton, CO 81433-0964 · (970) 387-5114 · Fax (970) 387-5037

Phone(970) 387-5114

Fax(970) 387-5036

Organization SubpartNo

Authorized OfficialTheresa BrokeringBoard Member · (970) 618-3913

Enumeration DateJune 24, 2020

NPPES CertifiedJune 24, 2020

✔ NPI 1811513880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

1315 SNOWDEN STREET, Silverton, CO 81433

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Other Names 1

Other NameSilverton Clinic

Other Identifiers 1

Other12345Free Clinic No Insurance Billing

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 06D2310017

Silverton And San Juan County Clinic · Silverton, CO

Active · expires Aug 25, 2026

CLIA Number06D2310017

Laboratory TypeRural Health Clinic

Certificate Effective DateAugust 26, 2024

Certificate Expiration DateAugust 25, 2026

Laboratory DirectorJamie L. Stacey

Laboratory Phone(970) 387-5114

Laboratory LocationSilverton And San Juan County Clinic1315 Snowden St, Silverton, CO 81433

CLIA data matches this NPI record on: Address 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 Silverton And San Juan Co Clinic's NPI number?

The NPI number for Silverton And San Juan Co Clinic is 1811513880. It was assigned to this organization in the NPPES registry on June 24, 2020. The provider is also known as Silverton Clinic.

Where is Silverton And San Juan Co Clinic located?

Silverton And San Juan Co Clinic is located at 1315 Snowden Street, Silverton, CO 81433. The listed phone number is (970) 387-5114.

What is Silverton And San Juan Co Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Silverton And San Juan Co Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2310017) is associated with this NPI, valid through August 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Silverton And San Juan Co Clinic was last updated on June 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.