Provider Demographics
NPI:1326464280
Name:RIO BLANCO COUNTY
Entity Type:Organization
Organization Name:RIO BLANCO COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:ZUFELT
Authorized Official - Suffix:
Authorized Official - Credentials:R N
Authorized Official - Phone:970-878-9525
Mailing Address - Street 1:345 E MARKET ST
Mailing Address - Street 2:
Mailing Address - City:MEEKER
Mailing Address - State:CO
Mailing Address - Zip Code:81641-9658
Mailing Address - Country:US
Mailing Address - Phone:970-878-9525
Mailing Address - Fax:970-975-2233
Practice Address - Street 1:345 E MARKET ST
Practice Address - Street 2:
Practice Address - City:MEEKER
Practice Address - State:CO
Practice Address - Zip Code:81641-9658
Practice Address - Country:US
Practice Address - Phone:970-878-9525
Practice Address - Fax:970-975-2233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-14
Last Update Date:2014-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN.0122775251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO04462099Medicaid
CO04462099Medicaid