MEDICARE: COUNTY OF WELD

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
1	251K00000X	Public Health or Welfare Agency

Other Identifiers

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

General Provider Information

NPI Number	:	1598359218
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNTY OF WELD

Provider Business Mailing Address
First Line	:	1555 N 17TH AVE
Second Line	:
City	:	GREELEY
State	:	CO
Zip	:	80631-9117
Country	:	US
Telephone Number	:	970-304-6410
Fax Number	:

Provider Business Practice Location Address
First Line	:	2960 9TH STREET
Second Line	:
City	:	FT. LUPTON
State	:	CO
Zip	:	80621-3500
Country	:	US
Telephone Number	:	970-304-6410
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR OF PUBLIC HEALTH
Name	:	JASON CHESSHER
Credential	:
Telephone Number	:	970-400-2293

Provider Enumeration Date	:	02/23/2021
Last Update Date	:	02/03/2025

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Directions to “COUNTY OF WELD ” Practice Location

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