Healthcare Provider Details

I. General information

NPI: 1619553344
Provider Name (Legal Business Name): NORTHEAST COLORADO HEALTH DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2021
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 E DENVER ST STE C
HOLYCOKE CO
80734-1553
US

IV. Provider business mailing address

700 COLUMBINE ST
STERLING CO
80751-3728
US

V. Phone/Fax

Practice location:
  • Phone: 970-522-3741
  • Fax: 970-522-1412
Mailing address:
  • Phone: 970-522-3741
  • Fax: 970-522-1412

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License Number
License Number State

VIII. Authorized Official

Name: PATRICIA LAYNE MCCLAIN
Title or Position: PUBLIC HEALTH DIRECTOR
Credential: BSN
Phone: 970-867-4918