Organization Name: | MONTEZUMA COUNTY HEALTH DEPARTMENT |
NPI Number: | 1114918000 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LORI COOPER (DIRECTOR) |
Mailing Address: | 106 W North St Cortez |
State: | CO US |
Postal Code: | 813213119 |
Phone Number: | 9705653056 |
Fax Number: | 9705650647 |
NPI Enumeration Date: | 10/31/2005 |
NPI Last Update Date: | 10/22/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | 9802662 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |