Organization
TELLER COUNTY
Active
Other names
Teller County Public Health
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINA GOETTGE RUBIN N.P., R.N. (DIRECTOR)
(719) 687-6416
Entity
Organization
Contact information
Practice address
11115 W. HIGHWAY 24, UNIT 2C, DIVIDE, CO 80814
(719) 687-6416
(719) 687-6501
Mailing address
PO BOX 928, DIVIDE, CO 80814-0928
(719) 687-6416
(719) 687-6501
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
04540548
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04540548
—
CO
Enumeration date
11/15/2006
Last updated
04/08/2010
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