SAN JUAN BASIN PUBLIC HEALTH NPI 1083764443

NPI Information

  • NPI: 1083764443
  • Provider Name: SAN JUAN BASIN PUBLIC HEALTH
  • Classification: Clinic/Center - 261QP0905X
  • Specialization: Public Health, State or Local
  • Entity Type: Organization
  • Address: 281 SAWYER DR
    DURANGO, CO
    ZIP 81303
  • Phone: (970) 247-5702

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NPI Details

SAN JUAN BASIN PUBLIC HEALTH is a public health and state or local clinic center in Durango, CO. SAN JUAN BASIN PUBLIC HEALTH NPI is 1083764443. The provider is registered as an organization entity type.

The provider's business location address is:

281 SAWYER DR
DURANGO, CO
ZIP 81303-409
Phone: (970) 247-5702
Fax: (970) 247-9126

The provider's authorized official is Liane Jollon .
The authorized official title is Executive Director and has the following contact phone number (970) 247-5702.

The enumeration date for this NPI number is 1/10/2007 and was last updated on 6/11/2021.

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
1261QP0905XClinic/CenterPublic Health, State or LocalYes

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 Other Provider Identifier Issuer
104002150MEDICAIDCOLORADO

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: 3/30/2025

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