Organization
COUNTY OF FREMONT
Active
Organization
COUNTY OF FREMONT
Active
Other names
Fremont County Department of Public Health & Environment
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICK A MIKLICH (DIRECTOR)
(719) 276-7449
Entity
Organization
Contact information
Practice address
201 N 6TH ST, CANON CITY, CO 81212-3303
(719) 276-7450
(719) 276-7451
Mailing address
201 N 6TH ST, CANON CITY, CO 81212-3303
(719) 276-7450
(719) 276-7451
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04446092
—
CO
01
—
COB5228
MEDICARE 73 MASS IMMUNIZATION ROSTER BILLER
CO
Enumeration date
07/21/2005
Last updated
05/08/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up