MEDICARE: COUNTY OF ALAMOSA

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	251E00000X	Home Health Agency	067026	CO
2	251E00000X	Home Health Agency	05726005	CO

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	:	1639173180
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNTY OF ALAMOSA

Provider Business Mailing Address
First Line	:	8900 INDEPENDENCE WAY
Second Line	:	BUILDING B
City	:	ALAMOSA
State	:	CO
Zip	:	81101-9412
Country	:	US
Telephone Number	:	719-589-6639
Fax Number	:	719-589-1103

Provider Business Practice Location Address
First Line	:	8900 INDEPENDENCE WAY
Second Line	:	BUILDING B
City	:	ALAMOSA
State	:	CO
Zip	:	81101-9412
Country	:	US
Telephone Number	:	719-589-6639
Fax Number	:	719-589-1103

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MRS. JULIE GEISER
Credential	:
Telephone Number	:	719-589-6639

Provider Enumeration Date	:	06/10/2005
Last Update Date	:	01/20/2012

Similar Medicare Providers

1770547440 — COUNTY OF ALAMOSA
Practice Location Address:

8900 INDEPENDENCE WAY
ALAMOSA, CO
81101-9412

Practice Phone: 719-589-6639
Practice Fax: 719-589-1103

1568610780 — DYAN I ANDERSON RN
Practice Location Address:

8900 INDEPENDENCE WAY
ALAMOSA, CO
81101-9412

Practice Phone: 719-588-0786
Practice Fax:

1609179480 — MS. DELLA K. COX-VIEIRA RN
Practice Location Address:

8900 INDEPENDENCE WAY , SUITE B
ALAMOSA, CO
81101-9412

Practice Phone: 719-589-6639
Practice Fax: 719-589-1103

1831564152 — COUNTY OF ALAMOSA
Practice Location Address:

8900 INDEPENDENCE WAY , SUITE B
ALAMOSA, CO
81101-9412

Practice Phone: 719-589-6639
Practice Fax: 719-589-1103

1679939912 — COUNTY OF ALAMOSA
Practice Location Address:

8900 INDEPENDENCE WAY , SUITE B
ALAMOSA, CO
81101-9412

Practice Phone: 719-589-6639
Practice Fax: 719-589-1103

1528928041 — MELISSA CROWTHER MA, LPC, LSC, NCC
Practice Location Address:

1123 WEST AVE UNIT C
ALAMOSA, CO
81101-3005

Practice Phone: 719-589-0202
Practice Fax:

Directions to “COUNTY OF ALAMOSA ” Practice Location

Language	Start Address	Practice Location

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