Organization
COUNTY OF CHAFFEE
Active
Other names
Chaffee County Public Health
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA CARLSTROM MBA (DIRECTOR)
(719) 539-4510
Entity
Organization
Contact information
Practice address
448 E 1ST ST, SUITE 137, SALIDA, CO 81201-2804
(719) 539-4510
(719) 539-7197
Mailing address
448 E 1ST ST, SUITE 137, SALIDA, CO 81201-2804
(719) 539-4510
(719) 539-7197
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04419099
—
CO
01
—
600001932
RAILROAD MEDICARE
—
Enumeration date
05/02/2006
Last updated
12/07/2015
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