Provider Demographics
NPI:1265018915
Name:NORTHEAST COLORADO HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:NORTHEAST COLORADO HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PUBLIC HEALTH DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:LAYNE
Authorized Official - Last Name:MCCLAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-867-4918
Mailing Address - Street 1:700 COLUMBINE STREET
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:CO
Mailing Address - Zip Code:80751-3728
Mailing Address - Country:US
Mailing Address - Phone:970-522-3741
Mailing Address - Fax:970-522-1412
Practice Address - Street 1:482 ADAMS AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:CO
Practice Address - Zip Code:80720-1149
Practice Address - Country:US
Practice Address - Phone:970-522-3741
Practice Address - Fax:970-522-1412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-23
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center