| Organization Name: | SAN JUAN COUNTY PUBLIC HEALTH |
| NPI Number: | 1003213596 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THERESA BROKERING (DIRECTOR) |
| Mailing Address: | 1315 Snowden Street Silverton |
| State: | CO US |
| Postal Code: | 81433 |
| Phone Number: | 9703870242 |
| Fax Number: | |
| NPI Enumeration Date: | 11/26/2014 |
| NPI Last Update Date: | 11/26/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | 25978 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |