Provider Demographics
NPI:1437874948
Name:NORTHEAST COLORADO HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:NORTHEAST COLORADO HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:PENNY
Authorized Official - Middle Name:
Authorized Official - Last Name:STUMPF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-522-3741
Mailing Address - Street 1:700 COLUMBINE ST
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:
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:970-345-6562
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-06
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare