Organization
CONEJOS COUNTY GOVERNMENT
Active
Organization
CONEJOS COUNTY GOVERNMENT
Active
Other names
Conejos County EMS
Organization subpart
No
Provider details
NPI number
Authorized official
ERNEST D ABEYTA (DIRECTOR)
(719) 274-5084
Entity
Organization
Contact information
Practice address
17705 US HIGHWAY 285 STE B, LA JARA, CO 81140-0244
(719) 274-5804
(719) 274-5850
Mailing address
PO BOX 215, CONEJOS, CO 81129-0215
(719) 274-5804
(719) 274-5850
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06000194
—
CO
01
—
707458200
DOL
—
Enumeration date
01/04/2006
Last updated
03/10/2021
Update your record
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