Healthcare Provider Details

I. General information

NPI: 1518897602
Provider Name (Legal Business Name): MONTEZUMA COUNTY HEALTH DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 WEST NORTH STREET
CORTEZ CO
81321
US

IV. Provider business mailing address

106 WEST NORTH STREET
CORTEZ CO
81321
US

V. Phone/Fax

Practice location:
  • Phone: 970-565-3056
  • Fax:
Mailing address:
  • Phone: 970-565-3056
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: LAUREL A. SCHAFER
Title or Position: ASSISTANT DIRECTOR OF PUBLIC HEALTH
Credential:
Phone: 970-565-3056