Provider Demographics
NPI:1821120262
Name:COUNTY OF ELBERT
Entity Type:Organization
Organization Name:COUNTY OF ELBERT
Other - Org Name:ELBERT COUNTY PUBLIC HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:NURSE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCINTOSH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:303-621-3144
Mailing Address - Street 1:PO BOX 201
Mailing Address - Street 2:
Mailing Address - City:KIOWA
Mailing Address - State:CO
Mailing Address - Zip Code:80117-0201
Mailing Address - Country:US
Mailing Address - Phone:303-621-3144
Mailing Address - Fax:
Practice Address - Street 1:75 UTE AVE
Practice Address - Street 2:
Practice Address - City:KIOWA
Practice Address - State:CO
Practice Address - Zip Code:80117-9367
Practice Address - Country:US
Practice Address - Phone:303-621-3144
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-12
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO07266612OtherID NUMBER