Provider Demographics
NPI:1497947212
Name:ALAMOSA COUNTY NURSING SERVICE
Entity Type:Organization
Organization Name:ALAMOSA COUNTY NURSING SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GEISER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-589-6639
Mailing Address - Street 1:8900 INDEPENDENCE WAY
Mailing Address - Street 2:
Mailing Address - City:ALAMOSA
Mailing Address - State:CO
Mailing Address - Zip Code:81101
Mailing Address - Country:US
Mailing Address - Phone:719-589-6639
Mailing Address - Fax:719-589-1103
Practice Address - Street 1:8900 INDEPENDENCE WAY
Practice Address - Street 2:
Practice Address - City:ALAMOSA
Practice Address - State:CO
Practice Address - Zip Code:81101
Practice Address - Country:US
Practice Address - Phone:719-589-6639
Practice Address - Fax:719-589-1103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-15
Last Update Date:2007-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO09000027251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO09000027Medicaid