Provider Demographics
NPI:1679939912
Name:COUNTY OF ALAMOSA
Entity Type:Organization
Organization Name:COUNTY OF ALAMOSA
Other - Org Name:ALAMOSA COUNTY PUBLIC HEALTH DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:COX-VIEIRA
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MPH
Authorized Official - Phone:719-589-6639
Mailing Address - Street 1:8900 INDEPENDENCE WAY
Mailing Address - Street 2:SUITE B
Mailing Address - City:ALAMOSA
Mailing Address - State:CO
Mailing Address - Zip Code:81101-9412
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:SUITE B
Practice Address - City:ALAMOSA
Practice Address - State:CO
Practice Address - Zip Code:81101-9412
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:2015-12-31
Last Update Date:2015-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare