Healthcare Provider Details

I. General information

NPI: 1013048495
Provider Name (Legal Business Name): COUNTY OF LINCOLN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2007
Last Update Date: 08/23/2022
Certification Date: 08/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

326 8TH STREET
HUGO CO
80821-0125
US

IV. Provider business mailing address

PO BOX 125
HUGO CO
80821-0125
US

V. Phone/Fax

Practice location:
  • Phone: 719-743-2526
  • Fax:
Mailing address:
  • Phone: 719-743-2526
  • Fax: 719-743-2482

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number100396
License Number StateCO

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: KELLY MEIER
Title or Position: DIRECTOR
Credential:
Phone: 719-743-2526