Healthcare Provider Details

I. General information

NPI: 1841270071
Provider Name (Legal Business Name): COUNTY OF CHAFFEE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2006
Last Update Date: 03/07/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10364 COUNTY ROAD 120
SALIDA CO
81201-9404
US

IV. Provider business mailing address

2233 E. MAIN ST. BUSINESS OPTIONS MEDICAL BILLING
MONTROSE CO
81401-3831
US

V. Phone/Fax

Practice location:
  • Phone: 719-539-1914
  • Fax: 970-539-8688
Mailing address:
  • Phone: 970-765-0818
  • Fax: 970-497-8410

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: JOSH A HADLEY
Title or Position: EMS MANAGER
Credential:
Phone: 719-539-1914