Provider Demographics
NPI:1164054292
Name:COUNTY OF MOFFAT
Entity Type:Organization
Organization Name:COUNTY OF MOFFAT
Other - Org Name:MOFFAT COUNTY PUBLIC HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FINANCE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MELINDA
Authorized Official - Middle Name:T
Authorized Official - Last Name:CURTIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-629-4001
Mailing Address - Street 1:221 W VICTORY WAY STE 115
Mailing Address - Street 2:
Mailing Address - City:CRAIG
Mailing Address - State:CO
Mailing Address - Zip Code:81625-2732
Mailing Address - Country:US
Mailing Address - Phone:970-824-9141
Mailing Address - Fax:970-824-9186
Practice Address - Street 1:651 YAMPA AVE
Practice Address - Street 2:
Practice Address - City:CRAIG
Practice Address - State:CO
Practice Address - Zip Code:81625-2515
Practice Address - Country:US
Practice Address - Phone:970-629-4001
Practice Address - Fax:833-788-1739
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-06
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare