Organization
COUNTY OF CHEYENNE
Active
Other names
Cheyenne County Nursing Public Health
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA ROTH R.N. (ADMINISTRATOR)
(719) 767-5616
Entity
Organization
Contact information
Practice address
560 W 6 N, CHEYENNE WELLS, CO 80810
(719) 767-5616
(719) 767-8747
Mailing address
PO BOX 38, CHEYENNE WELLS, CO 80810-0038
(719) 767-5616
(719) 767-8747
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04540191
—
CO
Enumeration date
12/14/2006
Last updated
04/15/2016
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