Organization
LAS ANIMAS-HUERFANO COUNTIES DISTRICT HEALTH DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY GONZALES (EXECUTIVE DIRECTOR)
(719) 846-2213
Entity
Organization
Contact information
Practice address
412 BENEDICTA AVE, TRINIDAD, CO 81082-2005
(719) 846-2213
(719) 846-4472
Mailing address
412 BENEDICTA AVE, TRINIDAD, CO 81082-2005
(719) 846-2213
(719) 846-4472
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
0268
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01224930
—
CO
05
—
04411096
—
CO
05
—
07625375
—
CO
05
—
78389721
—
CO
Enumeration date
12/04/2006
Last updated
09/30/2024
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