Healthcare Provider Details

I. General information

NPI: 1538162144
Provider Name (Legal Business Name): SUMMIT COUNTY PUBLIC HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37 COUNTY ROAD 1005
FRISCO CO
80443
US

IV. Provider business mailing address

PO BOX 2280
FRISCO CO
80443-2280
US

V. Phone/Fax

Practice location:
  • Phone: 970-668-5230
  • Fax: 970-668-4115
Mailing address:
  • Phone: 970-668-5230
  • Fax: 970-668-4115

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DEBBIE CROOK
Title or Position: DIRECTOR
Credential: MSN
Phone: 970-668-4181