Organization
PROWERS COUNTY NURSING
Active
Other names
Prowers County Public Health
Organization subpart
No
Provider details
NPI number
Authorized official
JO LYNN IDLER (DIRECTOR OF BUSINESS OPERATIONS)
(719) 336-8721
Entity
Organization
Contact information
Practice address
1001 S MAIN ST, LAMAR, CO 81052-3838
(719) 336-8721
(719) 336-9763
Mailing address
1001 S MAIN ST, LAMAR, CO 81052-3838
(719) 336-8721
(719) 336-9763
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04451092
—
CO
Enumeration date
12/13/2005
Last updated
02/13/2017
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