National Provider Identifier Database

OTERO COUNTY HEALTH DEPARTMENT
Public Health, State or Local


Contact Information

OTERO COUNTY HEALTH DEPARTMENT
13 WEST THIRD ST.
ROOM 111
LA JUNTA, CO81050-1691
Phone: 719-383-3040
Fax: 719-383-3060
Website:
Specialty Taxonomy Code
* Public Health, State or Local 261QP0905X

* Indicates primary specialty

NPI Profile & details for OTERO COUNTY HEALTH DEPARTMENT

NPI Number 1023215472
Legal business name
LBN
OTERO COUNTY HEALTH DEPARTMENT
Authorized official LORENE NELSON - (NURSING SUPERVISOR)
Entity Organization
Organization subpart No
Enumeration date 06/29/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • CO License #: 04413092
  • CO Medicaid: 07321771
  • CO Medicaid: 07396187
  • CO Medicaid: 07452618

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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