Provider Demographics
NPI:1326290750
Name:CONEJOS COUNTY PUBLIC HEALTH AND NURSING SERVICES
Entity Type:Organization
Organization Name:CONEJOS COUNTY PUBLIC HEALTH AND NURSING SERVICES
Other - Org Name:CONEJOS COUNTY NURSING SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:C
Authorized Official - Last Name:JIRON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-274-4307
Mailing Address - Street 1:PO BOX 157
Mailing Address - Street 2:6683 COUNTY RD 13
Mailing Address - City:CONEJOS
Mailing Address - State:CO
Mailing Address - Zip Code:81129
Mailing Address - Country:US
Mailing Address - Phone:719-274-4307
Mailing Address - Fax:719-274-4309
Practice Address - Street 1:19023 HWY 285 SOUTH
Practice Address - Street 2:
Practice Address - City:LA JARA
Practice Address - State:CO
Practice Address - Zip Code:81140
Practice Address - Country:US
Practice Address - Phone:719-274-4307
Practice Address - Fax:719-274-4309
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CONEJOS COUNTY GOVERNMENT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-10-16
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare