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COUNTY OF WELD BOARD OF COUNTY COMMISSIONERS

Ambulatory Health Care Facilities Clinic/Center Public Health, State or Local

Provider NPI: 1174515258

Organization Information:
Organization Name:  COUNTY OF WELD BOARD OF COUNTY COMMISSIONERS
Organization is Subpart
Authorized Official:  MARK E WALLACE  DIRECTOR  970-304-6410

Practice Location:
1555 N 17TH AVE  GREELEY, CO 80631-9117 US
Tel: 970-304-6410  Fax: 970-304-6412

Business Mailing Address:
1555 N 17TH AVE  GREELEY, CO 80631-9117 US
Tel: 970-304-6410  Fax: 970-304-6412

NPI Information:
NPI: 1174515258
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N261QP0905XAmbulatory Health Care Facilities
Clinic/Center
Public Health, State or Local
COOO.0000241
Y251K00000XAgencies
Public Health or Welfare

Other Provider Identifiers:

IssuerNumberStateType
57780064CO05
BLUE CROSS BLUE SHIELDAMIS643628CO01
04005542CO05
04421095CO05



American Medical Association 2012 taxonomy code information

Code: 251K00000X

Type:

Classification:



Definition:



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