MONTEZUMA COUNTY HEALTH DEPARTMENT NPI 1114918000

NPI Information

NPI: 1114918000
Provider Name: MONTEZUMA COUNTY HEALTH DEPARTMENT
Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization

CLIA Number: 06D2275017

Address:
106 W NORTH ST
CORTEZ, CO
ZIP 81321
Phone: (970) 565-3056
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MONTEZUMA COUNTY HEALTH DEPARTMENT is a public health or welfare in Cortez, CO. MONTEZUMA COUNTY HEALTH DEPARTMENT NPI is 1114918000. The provider is registered as an organization entity type.

The provider's business location address is:

106 W NORTH ST
CORTEZ, CO
ZIP 81321-119
Phone: (970) 565-3056
Fax: (970) 565-0647

The provider's authorized official is Lori Cooper .
The authorized official title is Director and has the following contact phone number (970) 565-3056.

The CLIA number assigned to this NPI record is 06D2275017 - other - jail medical unit with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/31/2005 and was last updated on 10/22/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251K00000X	Public Health or Welfare		9802662	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	04423091	MEDICAID	COLORADO
2	C30286	MEDICARE ID-TYPE UNSPECIFIED	COLORADO
3	34888047	MEDICAID	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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