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NPI Code Detail

MEDICARE: MESA COUNTY HEALTH DEPARTMENT

MEDICARE: MESA 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
1163WC1500XCommunity Health Registered Nurse39245CO

Other Identifiers

General Provider Information

NPI Number : 1275536146
Entity Type Code : Organization
Provider Name (Legal Business Name) : MESA COUNTY HEALTH DEPARTMENT
Provider Business Mailing Address
First Line : P.O. BOX 20000
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81502-5033
Country : US
Telephone Number : 970-248-6974
Fax Number : 970-248-6974
Provider Business Practice Location Address
First Line : 510 29 1/2 ROAD
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81504
Country : US
Telephone Number : 970-248-6905
Fax Number : 970-248-6977
Authorized Official
Title or Position : DIRECTOR
Name : MR. JEFFREY KUHR
Credential :
Telephone Number : 970-248-6974
Provider Enumeration Date : 05/24/2005
Last Update Date : 12/14/2011

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Directions to “MESA COUNTY HEALTH DEPARTMENT ” Practice Location

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