| Organization Name: | COUNTY COMMISSIONERS OF BACA |
| NPI Number: | 1124031190 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBIN LYNAE TRUJILLO (DIRECTOR OF PUBLIC HEALTH) |
| Mailing Address: | 741 Main Street Suite #4 Springfield |
| State: | CO US |
| Postal Code: | 81073 |
| Phone Number: | 7195236621 |
| Fax Number: | 7195236537 |
| NPI Enumeration Date: | 08/14/2006 |
| NPI Last Update Date: | 09/16/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | NA |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |