1982466249 NPI number — LAS ANIMAS COUNTY DEPARTMENT OF SOCIAL SERVICES

Table of content: CATHERINE MCCOY MASSEY M.D. (NPI 1902123391)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982466249 NPI number — LAS ANIMAS COUNTY DEPARTMENT OF SOCIAL SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LAS ANIMAS COUNTY DEPARTMENT OF SOCIAL SERVICES
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:
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:
1982466249
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/23/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
219 S CHESTNUT ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TRINIDAD
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
81082-3000
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
719-846-2276
Provider Business Mailing Address Fax Number:
719-846-4269

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
219 S CHESTNUT ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TRINIDAD
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
81082-3000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
719-846-2276
Provider Business Practice Location Address Fax Number:
719-846-4269
Provider Enumeration Date:
01/23/2024

Additional Information

Authorized Official

Authorized Official Last Name:
ARAGON
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
GILBERT
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
719-941-7016

Provider Taxonomy Codes

  • Taxonomy code: 251B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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