Provider Demographics
NPI:1629449350
Name:GARFIELD COUNTY
Entity Type:Organization
Organization Name:GARFIELD COUNTY
Other - Org Name:GARFIELD COUNTY DEPARTMENT OF HUMAN SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ACCOUNTING SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:HIRNEISEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-625-5282
Mailing Address - Street 1:195 W 14TH
Mailing Address - Street 2:
Mailing Address - City:RIFLE
Mailing Address - State:CO
Mailing Address - Zip Code:81650-4700
Mailing Address - Country:US
Mailing Address - Phone:970-625-5282
Mailing Address - Fax:970-625-0927
Practice Address - Street 1:195 W 14TH
Practice Address - Street 2:
Practice Address - City:RIFLE
Practice Address - State:CO
Practice Address - Zip Code:81650-4700
Practice Address - Country:US
Practice Address - Phone:970-625-5282
Practice Address - Fax:970-625-0927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-07
Last Update Date:2015-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347B00000XTransportation ServicesBus
No347D00000XTransportation ServicesTrain
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO64901548Medicaid