COUNTY COMMISSIONERS OF BACA NPI 1124031190

NPI Information

NPI: 1124031190
Provider Name: COUNTY COMMISSIONERS OF BACA

Other Name: BACA COUNTY PUBLIC HEALTH AGENCY

Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization

Address:
741 MAIN STREET
SUITE #4
SPRINGFIELD, CO
ZIP 81073
Phone: (719) 523-6621
Get Directions

COUNTY COMMISSIONERS OF BACA is a public health or welfare in Springfield, CO. COUNTY COMMISSIONERS OF BACA NPI is 1124031190. The provider is registered as an organization entity type.
The provider Other Name Is Baca County Public Health Agency.

The provider's business location address is:

741 MAIN STREET
SUITE #4
SPRINGFIELD, CO
ZIP 81073
Phone: (719) 523-6621
Fax: (719) 523-6537

The provider's authorized official is Robin Lynae Trujillo .
The authorized official title is Director Of Public Health and has the following contact phone number (719) 523-6621.

The CLIA number assigned to this NPI record is 06D0644451 - public health laboratories with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/14/2006 and was last updated on 9/16/2010.

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		NA	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	CO04953	MEDICARE UPIN	COLORADO
2	30016	MEDICARE ID-TYPE UNSPECIFIED	COLORADO
3	COTP164927A	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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