Organization
PARK COUNTY DEPT OF HUMAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BOYDARIAH (DIRECTOR)
(303) 816-5930
Entity
Organization
Contact information
Practice address
824 CASPELLO AVE, FAIRPLAY, CO 80440
(719) 836-4140
(719) 836-0508
Mailing address
PO BOX 968, FAIRPLAY, CO 80440-0968
(719) 836-4140
(719) 836-0508
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
—
344600000X
Taxi
Primary
—
—
347C00000X
Private Vehicle
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06200471
—
CO
01
—
23597
TRADING PRACTICE
—
Enumeration date
03/16/2007
Last updated
09/11/2025
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