Provider Demographics
NPI:1659475838
Name:WELD COUNTY DIVISION OF HUMAN SERVICES
Entity Type:Organization
Organization Name:WELD COUNTY DIVISION OF HUMAN SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FISCAL TECH
Authorized Official - Prefix:MISS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:E
Authorized Official - Last Name:SANDIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-353-3800
Mailing Address - Street 1:PO BOX 1805
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80632-1805
Mailing Address - Country:US
Mailing Address - Phone:970-353-3800
Mailing Address - Fax:970-304-6453
Practice Address - Street 1:1555 N 17TH AVE
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80631-9117
Practice Address - Country:US
Practice Address - Phone:970-353-3800
Practice Address - Fax:970-304-6453
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO04142295Medicaid