County Commissioners of Baca
Organization Active NPI Public Health or Welfare Agency · Springfield, CO
NPI 1124031190 · NPPES record last updated Sep 16, 2010
Key facts
- NPI
- 1124031190
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Public Health or Welfare Agency 251K00000X
- License
- NA (CO)
- Legal business name
- COUNTY COMMISSIONERS OF BACA
- Practice address
- 741 Main Street
Suite #4
Springfield, CO 81073 - Phone
- (719) 523-6621
- Fax
- (719) 523-6537
- NPI assigned
- Aug 14, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- COUNTY COMMISSIONERS OF BAC
Authorized official
- Name
- Ms. Robin Lynae Trujillo, RN
- Title
- Director of Public Health
- Phone
- (719) 523-6621
Corporate family (same tax ID) 1
Practitioners 2
-
Paige England, RN
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D0644451 | Baca County Public Health Agency | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
- Tax ID family
- County Commissioners of Baca
- Part of
- County Commissioners of Baca
Locations
741 Main St
Ste 4
Springfield, CO 81073
Phone (719) 523-6621
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | NA | CO | Yes |
Addresses
Primary practice location
741 Main Street
Suite #4
Springfield, CO 81073
Mailing address
741 Main Street
Suite #4
Springfield, CO 81073
Phone (719) 523-6621
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| COTP164927A | Medicaid | CO |
Other names
- Baca County Public Health Agency
Other providers in Springfield, CO
- Baca County Department of Social Services
- Baca Home Care Agency, Inc
- Staci Faye Bishop
- Nicole Blais
- Jessami Caddick
- County Commissioners of Baca
- Paige England
- Philip Coniff Hall
- Healthone Heart Care LLC
- Ralph Edward Holsworth Jr.
All providers in Springfield, CO · Public Health or Welfare Agency in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.