Organization
COUNTY COMMISSIONERS OF BACA
Active
Parent organization
COUNTY COMMISSIONERS OF BAC
Other names
Baca County Public Health Agency
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY COMMISSIONERS OF BAC
Authorized official
MS. ROBIN LYNAE TRUJILLO RN (DIRECTOR OF PUBLIC HEALTH)
(719) 523-6621
Entity
Organization
Contact information
Practice address
741 MAIN STREET, SUITE #4, SPRINGFIELD, CO 81073
(719) 523-6621
(719) 523-6537
Mailing address
741 MAIN STREET, SUITE #4, SPRINGFIELD, CO 81073
(719) 523-6621
(719) 523-6537
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
NA
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
COTP164927A
—
CO
Enumeration date
08/14/2006
Last updated
09/16/2010
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