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NPI Code Detail

MEDICARE: TRI-COUNTY HEALTH DEPARTMENT

MEDICARE: TRI-COUNTY HEALTH DEPARTMENT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QH0100XHealth Service Clinic/Center

General Provider Information

NPI Number : 1154953255
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRI-COUNTY HEALTH DEPARTMENT
Provider Business Mailing Address
First Line : 6162 S WILLOW DR STE 100
Second Line :
City : GREENWOOD VILLAGE
State : CO
Zip : 80111-5113
Country : US
Telephone Number : 303-220-9200
Fax Number : 303-741-4173
Provider Business Practice Location Address
First Line : 1401 W 122ND AVE STE 200
Second Line :
City : WESTMINSTER
State : CO
Zip : 80234-4902
Country : US
Telephone Number : 303-452-9547
Fax Number : 303-741-4417
Authorized Official
Title or Position : DEPUTY DIRECTOR
Name : JENNIFER LUDWIG
Credential :
Telephone Number : 303-220-9200
Provider Enumeration Date : 02/06/2020
Last Update Date : 02/06/2020

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Directions to “TRI-COUNTY HEALTH DEPARTMENT ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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