Organization
SAGUACHE COUNTY PUBLIC HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELLA VIEIRA (DIRECTOR)
(719) 655-2533
Entity
Organization
Contact information
Practice address
505 3RD STREET, SAGUACHE, CO 81149
(719) 655-2533
(719) 655-0105
Mailing address
P.O. BOX 68, 505 3RD STREET, SAGUACHE, CO 81149
(719) 655-2533
(719) 655-0105
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
169624
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
69750050
—
CO
Enumeration date
02/28/2011
Last updated
02/28/2011
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