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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 Specialty Code Provider Type

Public Health, State or Local

261QP0905X
Indicates primary specialty

NPI Profile & details for OTERO COUNTY HEALTH DEPARTMENT

NPI Number 1023215472
LBN Legal business name OTERO COUNTY HEALTH DEPARTMENT
Authorized official LORENE NELSON - (NURSING SUPERVISOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/29/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
CO License # 04413092
CO Medicaid 07321771
CO Medicaid 07396187
CO Medicaid 07452618
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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