Healthcare Provider Details

I. General information

NPI: 1518176932
Provider Name (Legal Business Name): EL PASO COUNTY DEPARTMENT OF HUMAN SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 N SPRUCE ST
COLORADO SPRINGS CO
80905-1409
US

IV. Provider business mailing address

105 N SPRUCE ST
COLORADO SPRINGS CO
80905-1409
US

V. Phone/Fax

Practice location:
  • Phone: 719-444-5600
  • Fax: 719-444-5619
Mailing address:
  • Phone: 719-444-5600
  • Fax: 719-444-5619

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: MS. SUSAN E BELLOTTI
Title or Position: ASST BUDGET & FINANCE MANAGER
Credential:
Phone: 719-444-5600