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County Of Costilla
Public Health or Welfare Agency in San Luis, Colorado
NPI 1427722669

County Of Costilla is a Public Health or Welfare Agency based in San Luis, CO. County Of Costilla practices in San Luis, CO. The NPI Number for County Of Costilla is 1427722669 and holds a License No. (Colorado).

The current practice location address for County Of Costilla is 233 Main Street, Suite C., San Luis, CO and can be reached out via phone at 719-672-3465.

Location: 233 Main Street, Suite C., San Luis, CO, 81152-0099
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1427722669
Provider Name
County Of Costilla
Credential
Provider Entity Type
Organization
Address
233 Main Street, Suite C., San Luis, CO, 81152-0099
Phone Number
719-672-3465
Fax Number
Provider Enumeration Date
08/02/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
013044542 05 CO
institution
Provider Business Practice Location Address Details
Address
233 Main Street, Suite C.
City
San Luis
State
Colorado
Zip
81152
Phone Number
719-672-3465
Fax Number
person
Provider Business Mailing Address Details
Address
233 Main Street, Suite C.
City
San Luis
State
Colorado
Zip
81152
Phone Number
719-672-3465
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Public Health or Welfare
Speciality
-
Taxonomy
251K00000X
License No.
()
Definition
Definition to come...
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