Provider Demographics
NPI:1245222462
Name:MONTROSE COUNTY FAMILY PLANNING
Entity Type:Organization
Organization Name:MONTROSE COUNTY FAMILY PLANNING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTING
Authorized Official - Prefix:MRS
Authorized Official - First Name:VIVIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SISNEROS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-252-5006
Mailing Address - Street 1:1845 S TOWNSEND AVE
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:CO
Mailing Address - Zip Code:81401-5448
Mailing Address - Country:US
Mailing Address - Phone:970-252-5000
Mailing Address - Fax:970-252-7070
Practice Address - Street 1:1845 S TOWNSEND AVE
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:CO
Practice Address - Zip Code:81401-5448
Practice Address - Country:US
Practice Address - Phone:970-252-5000
Practice Address - Fax:970-252-7070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-16
Last Update Date:2016-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0050XAmbulatory Health Care FacilitiesClinic/CenterFamily Planning, Non-Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO04005724Medicaid