Teller County

NPI #1104998822 in Divide, Colorado

Provider Information

NPI Number
1104998822
Entity Type
Organization
Organization Name
Teller County
Primary Specialty
Clinic/Center - Public Health, State or Local
Enumeration Date
Nov 15, 2006
Last Updated
Apr 8, 2010

Practice Location

Address
11115 W. HIGHWAY 24
Address 2
UNIT 2C
City
Divide
ZIP Code
80814
Phone
(719) 687-6416

Authorized Official

Name
MRS. CHRISTINA GOETTGE RUBIN, N.P., R.N.
Title
DIRECTOR
Phone
(719) 687-6416

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Public Health, State or LocalPublic Health, State or Local

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