Provider Demographics
NPI:1689391906
Name:ADAMS COUNTY HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:ADAMS COUNTY HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:N
Authorized Official - Last Name:WEIDENBACH
Authorized Official - Suffix:
Authorized Official - Credentials:DRPH, MPH
Authorized Official - Phone:720-523-7203
Mailing Address - Street 1:4430 S ADAMS COUNTY PKWY STE 1700
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80601-8222
Mailing Address - Country:US
Mailing Address - Phone:720-523-7203
Mailing Address - Fax:
Practice Address - Street 1:1401 W 122ND AVE
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80234-3435
Practice Address - Country:US
Practice Address - Phone:720-523-7203
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-26
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000213006Medicaid