Healthcare Provider Details

I. General information

NPI: 1215990064
Provider Name (Legal Business Name): ALAMOSA COUNTY NURSING SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2006
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8900 INDEPENDENCE WAY
ALAMOSA CO
81101
US

IV. Provider business mailing address

8900 INDEPENDENCE WAY
ALAMOSA CO
81101
US

V. Phone/Fax

Practice location:
  • Phone: 719-589-6639
  • Fax: 719-589-1103
Mailing address:
  • Phone: 719-589-6639
  • Fax: 719-589-1103

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. JULIE GEISER
Title or Position: DIRECTOR
Credential: RN
Phone: 719-589-6639