Teller County Valid NPI

Organization · State or Local Public Health Clinic/Center · Divide, CO

NPI

1104998822

Type

Organization (Type 2)

Primary specialty

State or Local Public Health Clinic/Center (Clinic/Center)

Specialty group

Ambulatory Health Care Facilities

Taxonomy code

261QP0905X

License number

04540548 (CO)

Enumerated

2006-11-15

Last updated

2010-04-08