OTERO COUNTY HEALTH DEPARTMENT NPI 1831294867

NPI Information

OTERO COUNTY HEALTH DEPARTMENT is a public health or welfare in La Junta, CO. OTERO COUNTY HEALTH DEPARTMENT NPI is 1831294867. The provider is registered as an organization entity type.

The provider's business location address is:

13 W 3RD ST
ROOM 111 COUNTY COURTHOUSE
LA JUNTA, CO
ZIP 81050-536
Phone: (719) 383-3040
Fax: (719) 383-3060

The provider's authorized official is Richard Ritter .
The authorized official title is Executive Director and has the following contact phone number (719) 383-3045.

The CLIA number assigned to this NPI record is 06D1099104 - public health laboratories with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/14/2006 and was last updated on 9/10/2015.

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:

Other Identifiers

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

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