Provider Demographics
NPI:1851568901
Name:TRI-COUNTY HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:TRI-COUNTY HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSING PROGRAM COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:ND, RN, CNS
Authorized Official - Phone:303-846-6239
Mailing Address - Street 1:4857 S BROADWAY
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-6806
Mailing Address - Country:US
Mailing Address - Phone:303-783-7146
Mailing Address - Fax:
Practice Address - Street 1:4857 S BROADWAY
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-6806
Practice Address - Country:US
Practice Address - Phone:303-783-7146
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-08
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare