County Commissioners of Baca

Organization Active NPI Registered Nurse · Springfield, CO

NPI 1922250976 · NPPES record last updated Oct 11, 2011

Key facts

NPI
1922250976
Entity type
Organization (NPI type 2)
Primary specialty
Registered Nurse 163W00000X
License
172848 (CO)
Legal business name
COUNTY COMMISSIONERS OF BACA
Practice address
741 Main St
Suite #4
Springfield, CO 81073-1548
Phone
(719) 523-6621
Fax
(719) 523-6537
NPI assigned
Oct 21, 2008
Organization subpart
Yes
Parent organization (as reported)
BACA COUNTY PUBLIC HEALTH AGENCY

Authorized official

Name
Ms. Robin Trujillo, RN
Title
Agency Director
Phone
(719) 523-6621

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Part of
County Commissioners of Baca

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse
Group: 193200000X MULTI-SPECIALTY GROUP
163W00000X 172848 CO Yes

Addresses

Primary practice location

741 Main St
Suite #4
Springfield, CO 81073-1548

Mailing address

741 Main St
Suite #4
Springfield, CO 81073-1548
Phone (719) 523-6621

Other identifiers

IdentifierTypeStateIssuer
04468096MedicaidCO
CO04953MedicaidCO
04102OtherCOMEDICARE PAYER I.D.

Other providers in Springfield, CO

All providers in Springfield, CO · Registered Nurse in Colorado

Sources for this page

Verify at the official NPI Registry.