COUNTY OF MOFFAT — NPI 1164054292 (Licensed & Credentialed Agencies

CMS-1500 Box 24J / 33a • NPI

1164054292

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

251K00000X (CMS 60)

Licensed & Credentialed Agencies — Public Health or Welfare

Box 32 Service Location & ZIP+4

1198 W VICTORY WAY STE 110, CRAIG, CO, 81625-2910

✓ 9-Digit EDI 837 ZIP+4 (81625-2910)

Practice Phone & Referral Fax

(970) 701-7915

Fax: (833) 719-1191

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1164054292 (COUNTY OF MOFFAT) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1164054292` (NPI-2 Organization / Facility)
Provider / Legal Name	COUNTY OF MOFFAT
Plain-English Specialty	Licensed & Credentialed Agencies — Public Health or Welfare NUCC Code: `251K00000X` (Public Health or Welfare)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1198 W VICTORY WAY STE 110, CRAIG, CO, 81625-2910
Practice Telephone / Fax	Tel: (970) 701-7915 \| Fax: (833) 719-1191
Administrative Mailing Address	1198 W VICTORY WAY STE 109, CRAIG, CO, 81625-2910
Enumeration & Last Sync	Enumerated: 2020-02-06 \| CMS Record Updated: 2026-10-28
Authorized Official	CATHERINE NIELSON (Finance Director)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1198 W VICTORY WAY STE 110, CRAIG, CO, 81625-2910

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Plain-English Taxonomy & CMS Crosswalk (251K00000X)

What Does Taxonomy Code 251K00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 251K00000X translates to:
"Licensed & Credentialed Agencies — Public Health or Welfare"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 60 (Public Health or Welfare Agency)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Public Health or Welfare for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (COUNTY OF MOFFAT)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`251K00000X` — Public Health or Welfare Plain English: Licensed & Credentialed Agencies — Public Health or Welfare	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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COUNTY OF MOFFAT (NPI #1164054292)