Organization
MONTROSE COUNTY SCHOOL DISTRICT RE-1J
Active
Parent organization
MONTROSE COUNTY SCHOOL DISTRICT RE-1J
Other names
Northside Child Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MONTROSE COUNTY SCHOOL DISTRICT RE-1J
Authorized official
KARIN SLATER (CHIEF FINANCIAL OFFICER)
(970) 252-7921
Entity
Organization
Contact information
Practice address
528 N UNCOMPAHGRE AVE, MONTROSE, CO 81401-3127
(970) 240-6438
Mailing address
2233 E MAIN ST, MONTROSE, CO 81401-3831
(970) 249-3700
(970) 497-8410
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05134064
—
CO
05
—
83121285
—
CO
Enumeration date
10/07/2010
Last updated
11/26/2013
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