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Organization

MONTEZUMA COUNTY HEALTH DEPARTMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LORI COOPER RN (DIRECTOR)
(970) 565-3056
Entity
Organization

Contact information

Practice address
106 W NORTH ST, CORTEZ, CO 81321-3119
(970) 565-3056
(970) 565-0647
Mailing address
106 W NORTH ST, CORTEZ, CO 81321-3119
(970) 565-3056
(970) 565-0647

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
9802662
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04423091
CO
05
34888047
CO
Enumeration date
10/31/2005
Last updated
10/22/2007
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