Provider Demographics
NPI:1013198480
Name:GILPIN COUNTY
Entity Type:Organization
Organization Name:GILPIN COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, HUMAN SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:DONOVAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-582-5444
Mailing Address - Street 1:2960 DORY HILL RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80403-8771
Mailing Address - Country:US
Mailing Address - Phone:303-582-5444
Mailing Address - Fax:303-582-5798
Practice Address - Street 1:2960 DORY HILL RD
Practice Address - Street 2:SUITE 100
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80403-8771
Practice Address - Country:US
Practice Address - Phone:303-582-5444
Practice Address - Fax:303-582-5798
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-14
Last Update Date:2007-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO06200240Medicaid