Organization
SAN JUAN BASIN PUBLIC HEALTH
Active
Parent organization
SAN JUAN BASIN PUBLIC HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAN JUAN BASIN PUBLIC HEALTH
Authorized official
MS. LIANE JOLLON RN (EXECUTIVE DIRECTOR)
(970) 247-5702
Entity
Organization
Contact information
Practice address
281 SAWYER DR, DURANGO, CO 81303-3409
(970) 247-5702
(970) 247-9126
Mailing address
281 SAWYER DR, DURANGO, CO 81303-3409
(970) 247-5702
(970) 247-9126
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04002150
—
CO
Enumeration date
01/10/2007
Last updated
06/11/2021
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