Organization
OTERO COUNTY HEALTH DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORENE NELSON RN (NURSING SUPERVISOR)
(719) 383-3040
Entity
Organization
Contact information
Practice address
13 WEST THIRD ST., ROOM 111, LA JUNTA, CO 81050-1691
(719) 383-3040
(719) 383-3060
Mailing address
13 WEST THIRD ST., ROOM 111, LA JUNTA, CO 81050-1691
(719) 383-3040
(719) 383-3060
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
04413092
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07321771
—
CO
05
—
07396187
—
CO
05
—
07452618
—
CO
Enumeration date
06/29/2007
Last updated
08/22/2020
Update your record
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