COUNTY OF COSTILLA NPI 1972725455

NPI Information

NPI: 1972725455
Provider Name: COUNTY OF COSTILLA

Doing Business As: COSTILLA COUNTY PUBLIC HEALTH AGENCY

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

Address:
233 MAIN STREET
SUITE C
SAN LUIS, CO
ZIP 81152
Phone: (719) 672-3332
Get Directions

COUNTY OF COSTILLA is a public health or welfare in San Luis, CO. COUNTY OF COSTILLA NPI is 1972725455. The provider is registered as an organization entity type.
The provider Is Doing Business As Costilla County Public Health Agency.

The provider's business location address is:

233 MAIN STREET
SUITE C
SAN LUIS, CO
ZIP 81152
Phone: (719) 672-3332
Fax: (719) 672-3856

The provider's authorized official is Vivian B Gallegos .
The authorized official title is Director and has the following contact phone number (719) 672-3332.

The CLIA number assigned to this NPI record is 06D0667553 - public health laboratories with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 9/5/2012.

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	251B00000X	Case Management				No
2	251K00000X	Public Health or Welfare				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	Other Provider Identifier Issuer
1	04138640	MEDICAID	COLORADO
2	C30096	MEDICARE PIN	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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »