Organization
BENT COUNTY PUBLIC HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA VIGIL (FINANCE OFFICER)
(719) 456-0517
Entity
Organization
Contact information
Practice address
701 S PARK AVE, LAS ANIMAS, CO 81054-1575
(719) 456-0517
Mailing address
701 S PARK AVE, LAS ANIMAS, CO 81054-1575
(719) 456-0517
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05715008
—
CO
Enumeration date
12/02/2022
Last updated
12/02/2022
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