| Organization Name: | OTERO COUNTY HEALTH DEPARTMENT |
| NPI Number: | 1023215472 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LORENE NELSON (NURSING SUPERVISOR) |
| Mailing Address: | 13 West Third St. Room 111 La Junta |
| State: | CO US |
| Postal Code: | 810501691 |
| Phone Number: | 7193833040 |
| Fax Number: | 7193833060 |
| NPI Enumeration Date: | 06/29/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP0905X |
| License Number: | 04413092 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Public Health, State or Local |
| Taxonomy Definition: | |