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Organization

PUEBLO COUNTY

Active
Other names
Dept of Social Services
Organization subpart
No

Provider details

NPI number
Authorized official
SHARON J ELLIS (CHIEF FINANCE OFFICER)
(719) 583-6179
Entity
Organization

Contact information

Practice address
212 W 12TH ST, PUEBLO, CO 81003-2975
(719) 583-6179
(719) 583-6174
Mailing address
212 W 12TH ST, PUEBLO, CO 81003-2975
(719) 583-6179
(719) 583-6174

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
CO
343900000X
Non-emergency Medical Transport (VAN)

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
06200513
CO
05
09000514
CO
Enumeration date
04/17/2007
Last updated
09/11/2025
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