Organization
KIOWA COUNTY PUBLIC HEALTH AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RENAY MARIE CRAIN RN (DIRECTOR)
(719) 438-5782
Entity
Organization
Contact information
Practice address
1206 LUTHER ST, EADS, CO 81036-0414
(719) 438-5782
(719) 438-2208
Mailing address
PO BOX 414, 1206 LUTHER, EADS, CO 81036-0414
(719) 438-5782
(719) 438-2208
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
121733
CO
Other
Enumeration date
07/08/2008
Last updated
11/09/2010
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