Organization
OTERO COUNTY DEPARTMENT OF SOCIAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOE C. CARRICA (DIRECTOR)
(719) 383-3168
Entity
Organization
Contact information
Practice address
13 W 3RD ST, ROOM 102, LA JUNTA, CO 81050-1536
(719) 383-3168
(719) 383-3150
Mailing address
PO BOX 494, LA JUNTA, CO 81050-0494
(719) 383-3168
(719) 383-3150
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06200455
—
CO
Enumeration date
04/18/2007
Last updated
08/22/2020
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