Healthcare Provider Details

I. General information

NPI: 1386748648
Provider Name (Legal Business Name): EASTERN RIO BLANCO COUNTY HEALTH SERVICE DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2006
Last Update Date: 12/15/2023
Certification Date: 12/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 6TH STREET, SUITE A
MEEKER CO
81641-3126
US

IV. Provider business mailing address

100 PIONEERS MEDICAL CENTER DR
MEEKER CO
81641-3181
US

V. Phone/Fax

Practice location:
  • Phone: 970-878-5047
  • Fax: 970-878-3285
Mailing address:
  • Phone: 970-878-5047
  • Fax: 970-878-3285

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number0395
License Number StateCO

VIII. Authorized Official

Name: ELIZABETH L SELLERS
Title or Position: CEO
Credential:
Phone: 970-878-9260