Provider Demographics
NPI:1073538054
Name:COUNTY OF PARK DBA PARK COUNTY PUBLIC HEALTH
Entity Type:Organization
Organization Name:COUNTY OF PARK DBA PARK COUNTY PUBLIC HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARK COUNTY PUBLIC HEALTH DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:719-836-4149
Mailing Address - Street 1:PO BOX 846
Mailing Address - Street 2:
Mailing Address - City:FAIRPLAY
Mailing Address - State:CO
Mailing Address - Zip Code:80440
Mailing Address - Country:US
Mailing Address - Phone:719-836-4161
Mailing Address - Fax:719-836-3433
Practice Address - Street 1:825 CLARK ST
Practice Address - Street 2:
Practice Address - City:FAIRPLAY
Practice Address - State:CO
Practice Address - Zip Code:80440
Practice Address - Country:US
Practice Address - Phone:719-836-4161
Practice Address - Fax:719-836-3433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC31456Medicare PIN