Healthcare Provider Details

I. General information

NPI: 1821120262
Provider Name (Legal Business Name): COUNTY OF ELBERT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2007
Last Update Date: 01/05/2023
Certification Date: 01/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 UTE AVE
KIOWA CO
80117-9367
US

IV. Provider business mailing address

PO BOX 201
KIOWA CO
80117-0201
US

V. Phone/Fax

Practice location:
  • Phone: 303-621-3144
  • Fax:
Mailing address:
  • Phone: 303-621-3144
  • 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: SARA MCINTOSH
Title or Position: NURSE MANAGER
Credential: RN
Phone: 303-621-3144