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NPI Code Detail

MEDICARE: PUEBLO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT

MEDICARE: PUEBLO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
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
1261QP0905XState or Local Public Health Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245228022
Entity Type Code : Organization
Provider Name (Legal Business Name) : PUEBLO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
Provider Business Mailing Address
First Line : 101 W 9TH ST
Second Line :
City : PUEBLO
State : CO
Zip : 81003-4103
Country : US
Telephone Number : 719-583-4300
Fax Number : 719-583-4527
Provider Business Practice Location Address
First Line : 101 W 9TH ST
Second Line :
City : PUEBLO
State : CO
Zip : 81003-4103
Country : US
Telephone Number : 719-583-4300
Fax Number : 719-583-4527
Authorized Official
Title or Position : PUBLIC HEALTH MEDICAL OFFICER
Name : DR. CHRISTOPHER EUGENE URBINA
Credential : M.D.
Telephone Number : 303-981-9985
Provider Enumeration Date : 10/06/2005
Last Update Date : 09/18/2018

Similar Medicare Providers

1649113358 — KRISTY DALTON
Practice Location Address:
101 W 9TH ST
PUEBLO, CO
81003-4103
Practice Phone: 719-583-4376
Practice Fax: 719-583-4375
1457492746 — BRENDA SUE TRACY RN
Practice Location Address:
101 W 9TH ST , PCCHD
PUEBLO, CO
81003-4103
Practice Phone: 719-583-4362
Practice Fax: 719-583-4375
1033405675 — SANDRA LEE HICKMAN RNBSN
Practice Location Address:
101 W 9TH ST
PUEBLO, CO
81003-4103
Practice Phone: 719-583-4308
Practice Fax: 719-583-4375
1205199718 — JENNIFER WARD R.N.
Practice Location Address:
101 W 9TH ST
PUEBLO, CO
81003-4103
Practice Phone: 719-583-4431
Practice Fax: 719-583-4439
1265778062 — JO ANNE MILLER RN
Practice Location Address:
101 W 9TH ST
PUEBLO, CO
81003-4103
Practice Phone: 719-583-4351
Practice Fax:
1871995571 — ZACHERY VAN OOYEN R.N,
Practice Location Address:
101 W 9TH ST
PUEBLO, CO
81003-4103
Practice Phone: 719-583-4364
Practice Fax: 719-583-4375

Directions to “PUEBLO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT ” Practice Location

Language Start Address Practice Location
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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