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Organization

SAN JUAN BOARD OF COOPERATIVE SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARLEE ANNE HART (MEDICAID COORDINATOR)
(719) 588-0397
Entity
Organization

Contact information

Practice address
701 CAMINO DEL RIO STE 221, DURANGO, CO 81301-5466
(970) 247-3261
(970) 247-8333
Mailing address
701 CAMINO DEL RIO STE 221, DURANGO, CO 81301-5466
(970) 247-3261
(970) 247-8333

Taxonomy

Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary

Other

Enumeration date
04/30/2021
Last updated
02/09/2026
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