Organization · Type 2 NPI

County of Costilla

Public Health or Welfare Agency · San Luis, CO

NPI number 1427722669 Active

Practice location

233 Main Street, Suite C.
San Luis, CO 81152

Mailing address

PO Box 99
San Luis, CO 81152-0099

Specialties and licenses

TaxonomyCodeLicense
Public Health or Welfare Agency Primary 251K00000XNone listed

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About NPI 1427722669

County of Costilla's National Provider Identifier is 1427722669, issued on Aug 2, 2021. The primary taxonomy on file is Public Health or Welfare Agency (251K00000X), and the practice location is in San Luis, CO. The record was last updated on Aug 2, 2021.