Organization · Type 2 NPI
Lake Fork Health Services District
Rural Health Clinic/Center · Lake City, CO
NPI number
1790767192
Active
Practice location
700 N Henson
Lake City, CO 81235-0999
Fax (970) 944-2320
Mailing address
PO Box 999
Lake City, CO 81235-0999
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center | 261QD0000X | None listed |
| Rural Health Clinic/Center Primary | 261QR1300X | None listed |
Rural Health Clinic/Center: Definition to come...
About NPI 1790767192
Lake Fork Health Services District's National Provider Identifier is 1790767192, issued on Nov 19, 2005. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Lake City, CO. The record was last updated on Dec 3, 2024.