# KIOWA COUNTY PUBLIC HEALTH AGENCY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114180486
- **Authorized official:** MRS. RENAY MARIE CRAIN RN (DIRECTOR)
- **Authorized official phone:** (719) 438-5782

## Contact information

- **Practice address:** 1206 LUTHER ST, EADS, CO 81036-0414
- **Practice address phone:** (719) 438-5782
- **Practice address fax:** (719) 438-2208
- **Mailing address:** PO BOX 414, 1206 LUTHER, EADS, CO 81036-0414
- **Mailing address phone:** (719) 438-5782
- **Mailing address fax:** (719) 438-2208

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | 121733 | CO | Yes |

## Other

- **Enumeration date:** 07/08/2008
- **Last updated:** 11/09/2010