Healthcare Provider Details

I. General information

NPI: 1457472086
Provider Name (Legal Business Name): BACA COUNTY DEPARTMENT OF SOCIAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

772 COLORADO ST SUITE 1
SPRINGFIELD CO
81073-1456
US

IV. Provider business mailing address

772 COLORADO ST SUITE 1
SPRINGFIELD CO
81073-1456
US

V. Phone/Fax

Practice location:
  • Phone: 719-523-4131
  • Fax: 719-523-4820
Mailing address:
  • Phone: 719-523-4131
  • Fax: 719-523-4820

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number04138657
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number06200059
License Number StateCO

VIII. Authorized Official

Name: MRS. CONNIE M RING
Title or Position: SOCIAL SERVICES SPECIALIST
Credential:
Phone: 719-523-4131