Provider Demographics
NPI:1538655766
Name:SILVER THREAD PUBLIC HEALTH DISTRICT
Entity Type:Organization
Organization Name:SILVER THREAD PUBLIC HEALTH DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PREVENTION COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:HUDGINS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, NCACII
Authorized Official - Phone:970-944-0321
Mailing Address - Street 1:PO BOX 277
Mailing Address - Street 2:
Mailing Address - City:LAKE CITY
Mailing Address - State:CO
Mailing Address - Zip Code:81235-0277
Mailing Address - Country:US
Mailing Address - Phone:970-944-0321
Mailing Address - Fax:970-944-1122
Practice Address - Street 1:304 W. 3RD ST
Practice Address - Street 2:
Practice Address - City:LAKE CITY
Practice Address - State:CO
Practice Address - Zip Code:81235-0277
Practice Address - Country:US
Practice Address - Phone:970-944-0321
Practice Address - Fax:970-944-1122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-11
Last Update Date:2018-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO35678207Q00000X
251B00000X, 251K00000X, 251S00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251K00000XAgenciesPublic Health or Welfare
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care