1255470225 NPI number — COUNTY OF CLEAR CREEK

Table of content: (NPI 1255470225)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1255470225 NPI number — COUNTY OF CLEAR CREEK

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COUNTY OF CLEAR CREEK
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1255470225
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/10/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 3669
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
IDAHO SPRINGS
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80452-3669
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-567-3147
Provider Business Mailing Address Fax Number:
303-567-3132

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1969 MINER STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
IDAHO SPRINGS
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80452
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
970-409-2577
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/06/2007

Additional Information

Authorized Official

Authorized Official Last Name:
KUPER
Authorized Official First Name:
EMILY
Authorized Official Middle Name:
Authorized Official Title or Position:
NURSING SUPERVISOR
Authorized Official Telephone Number:
970-409-2577

Provider Taxonomy Codes

  • Taxonomy code: 251K00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 04540209 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 07382807 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".




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