MEDICARE: NORTHEAST COLORADO 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
1	251K00000X	Public Health or Welfare Agency

General Provider Information

NPI Number	:	1962127480
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTHEAST COLORADO HEALTH DEPARTMENT

Provider Business Mailing Address
First Line	:	700 COLUMBINE ST
Second Line	:
City	:	STERLING
State	:	CO
Zip	:	80751-3728
Country	:	US
Telephone Number	:	970-522-3741
Fax Number	:

Provider Business Practice Location Address
First Line	:	529 N ALBANY ST STE 1120
Second Line	:
City	:	YUMA
State	:	CO
Zip	:	80759-1526
Country	:	US
Telephone Number	:	970-848-3811
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONS
Name	:	PENNY STUMPF
Credential	:
Telephone Number	:	970-522-3741

Provider Enumeration Date	:	10/06/2022
Last Update Date	:	10/06/2022

Similar Medicare Providers

1275119919 — NORTHEAST COLORADO HEALTH DEPARTMENT
Practice Location Address:

529 N ALBANY ST , STE 1120
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1144227588 — YUMA DISTRICT HOSPITAL
Practice Location Address:

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Practice Fax:

1720086333 — YUMA DISTRICT HOSPITAL
Practice Location Address:

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1437114428 — DR. ELIZABETH L HICKMAN PHD PSY
Practice Location Address:

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80759

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Directions to “NORTHEAST COLORADO HEALTH DEPARTMENT ” Practice Location

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