Provider Demographics
NPI:1164799698
Name:COUNTY OF GRAND
Entity Type:Organization
Organization Name:COUNTY OF GRAND
Other - Org Name:GRAND COUNTY PUBLIC HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:BRENE
Authorized Official - Last Name:BELEW-LADUE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:970-725-3288
Mailing Address - Street 1:PO BOX 264
Mailing Address - Street 2:
Mailing Address - City:HOT SULPHUR SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80451-0264
Mailing Address - Country:US
Mailing Address - Phone:970-725-3288
Mailing Address - Fax:970-725-3438
Practice Address - Street 1:150 MOFFAT AVENUE
Practice Address - Street 2:
Practice Address - City:HOT SULPHUR SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80451-0264
Practice Address - Country:US
Practice Address - Phone:970-725-3288
Practice Address - Fax:970-725-3438
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-29
Last Update Date:2011-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare