COUNTY LINE HEALTH CLINIC is a family nurse practitioner in Wiley, CO. COUNTY LINE HEALTH CLINIC NPI is 1124795836. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
36053 US HIGHWAY 287
WILEY, CO
ZIP 81092-702
Phone: (719) 688-9962
The provider's authorized official is Shelby Casper .
The authorized official title is Owner and has the following contact phone number (719) 688-9962.
The CLIA number assigned to this NPI record is 06D2240407 - practitioner other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/30/2021 and was last updated on 12/9/2021.