Organization · Type 2 NPI
Teller County
State or Local Public Health Clinic/Center · Divide, CO
NPI number
1104998822
Active
Practice location
11115 W. Highway 24, Unit 2C
Divide, CO 80814
Fax (719) 687-6501
Mailing address
PO Box 928
Divide, CO 80814-0928
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| State or Local Public Health Clinic/Center Primary | 261QP0905X | 04540548 (CO) |
State or Local Public Health Clinic/Center: Definition to come...
Another provider at this address
About NPI 1104998822
Teller County's National Provider Identifier is 1104998822, issued on Nov 15, 2006. The primary taxonomy on file is State or Local Public Health Clinic/Center (261QP0905X), and the practice location is in Divide, CO. The record was last updated on Apr 8, 2010.