Provider Demographics
NPI:1275394215
Name:NORTHEASTERN COLORADO ASSOCIATION FOR LOCAL GOVERNMENTS
Entity Type:Organization
Organization Name:NORTHEASTERN COLORADO ASSOCIATION FOR LOCAL GOVERNMENTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CMA DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:N
Authorized Official - Last Name:TRUJILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-867-1840
Mailing Address - Street 1:231 MAIN ST STE 201
Mailing Address - Street 2:
Mailing Address - City:FORT MORGAN
Mailing Address - State:CO
Mailing Address - Zip Code:80701-2148
Mailing Address - Country:US
Mailing Address - Phone:970-867-1840
Mailing Address - Fax:970-867-1850
Practice Address - Street 1:231 MAIN ST STE 201
Practice Address - Street 2:
Practice Address - City:FORT MORGAN
Practice Address - State:CO
Practice Address - Zip Code:80701-2148
Practice Address - Country:US
Practice Address - Phone:970-867-1840
Practice Address - Fax:970-867-1850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-17
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management