Provider Demographics
NPI:1144388182
Name:EL PASO COUNTY PUBLIC HEALTH
Entity Type:Organization
Organization Name:EL PASO COUNTY PUBLIC HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINDALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-575-8446
Mailing Address - Street 1:1675 W. GARDEN OF THE GODS ROAD
Mailing Address - Street 2:SUITE 2044
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80907
Mailing Address - Country:US
Mailing Address - Phone:719-578-3199
Mailing Address - Fax:719-575-8664
Practice Address - Street 1:1675 W. GARDEN OF THE GODS ROAD
Practice Address - Street 2:SUITE 2044
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907
Practice Address - Country:US
Practice Address - Phone:719-578-3199
Practice Address - Fax:719-575-8664
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-04
Last Update Date:2016-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare