Healthcare Provider Details

I. General information

NPI: 1174515258
Provider Name (Legal Business Name): COUNTY OF WELD BOARD OF COUNTY COMMISSIONERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2005
Last Update Date: 03/03/2025
Certification Date: 03/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1555 N 17TH AVE
GREELEY CO
80631-9117
US

IV. Provider business mailing address

1555 N 17TH AVE
GREELEY CO
80631-9117
US

V. Phone/Fax

Practice location:
  • Phone: 970-304-6410
  • Fax: 970-304-6412
Mailing address:
  • Phone: 970-304-6410
  • Fax: 970-304-6412

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP0905X
TaxonomyState or Local Public Health Clinic/Center
License NumberOO.0000241
License Number StateCO

VIII. Authorized Official

Name: JASON CHESSHER
Title or Position: EXEC. DIRECTOR
Credential:
Phone: 970-400-2293