Organization
HUERFANO/LAS ANIMAS AREA COUNCIL OF GOVERNMENTS
Active
Other names
South Central Council of Governments
Organization subpart
No
Provider details
NPI number
Authorized official
WALT BOULDEN (EXECUTIVE DIRECTOR)
(719) 845-1133
Entity
Organization
Contact information
Practice address
300 S BONAVENTURE AVE, TRINIDAD, CO 81082-2047
(719) 845-1133
(719) 845-1130
Mailing address
300 S BONAVENTURE AVE, TRINIDAD, CO 81082-2047
(719) 845-1133
(719) 845-1130
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143430
—
CO
05
—
163607
—
CO
Enumeration date
11/30/2015
Last updated
11/30/2015
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