COSTILLA COUNTY PUBLIC HEALTH AGENCY
NPI 1972725455
Public Health or Welfare in San Luis, CO

Active since May 03, 2007CLIA 06D0667553 · Waiver
233 MAIN STREET, SUITE C, SAN LUIS, CO 81152(719) 672-3332(719) 672-3856 Get Directions Write a Review

NPPES record last updated: September 5, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Costilla County Public Health Agency NPPES

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

COSTILLA COUNTY PUBLIC HEALTH AGENCY (NPI 1972725455) is a healthcare organization registered as a public health or welfare in San Luis, Colorado and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Vivian B Gallegos, Director, as its authorized official.

NPPES Registry Identity

NPI1972725455
Entity TypeOrganization
Primary Taxonomy251K00000X
Legal Business NameCOUNTY OF COSTILLA
Location Address233 MAIN STREET, SUITE CSan Luis, CO 81152
Mailing Address233 Main Street, Suite CSan Luis, CO 81152 · (719) 672-3332 · Fax (719) 672-3856
Fax(719) 672-3856
Organization SubpartNo
Authorized OfficialVivian B GallegosDirector · (719) 672-3332
Enumeration DateMay 3, 2007
Last NPPES UpdateSeptember 5, 2012
NPI 1972725455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPublic Health or WelfareAgencies
Taxonomy Code251K00000X
Also ListedCase ManagementTaxonomy 251B00000X
233 MAIN STREET, San Luis, CO 81152

Other Names 1

Doing Business AsCostilla County Public Health Agency

Other Identifiers 2

Medicaid04138640CO
Medicare PINC30096CO

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 06D0667553

Costilla County Public Health Agency · San Luis, CO
Active · expires Aug 31, 2026
CLIA Number06D0667553
Laboratory TypePublic Health Laboratories
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorVivian B. Gallegos
Laboratory Phone(719) 672-3332
Laboratory LocationCostilla County Public Health Agency233 Main Street Suite C, San Luis, CO 81152
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Federally Qualified Health Center (FQHC))
233 MAIN STREET, SUITE 2
SAN LUIS, CO 81152
Family Medicine
233 MAIN STREET
SAN LUIS, CO 81152
Clinic/Center (Federally Qualified Health Center (FQHC))
233 MAIN STREET, SUITE B
SAN LUIS, CO 81152
Registered Nurse (Administrator)
233 MAIN STREET, SUITE C
SAN LUIS, CO 81152
Registered Nurse
233 MAIN STREET, SUITE C
SAN LUIS, CO 81152

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 Of Costilla's NPI number?

The NPI number for County Of Costilla is 1972725455. It was assigned to this organization in the NPPES registry on May 3, 2007. The provider is doing business as Costilla County Public Health Agency.

Where is County Of Costilla located?

County Of Costilla is located at 233 Main Street Suite C, San Luis, CO 81152. The listed phone number is (719) 672-3332.

What is County Of Costilla's specialty?

The primary specialty registered for this NPI is Public Health or Welfare with taxonomy code 251K00000X.

Does County Of Costilla hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D0667553) is associated with this NPI, valid through August 31, 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 County Of Costilla was last updated on September 5, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.