County Of Costilla

LBN: County Of Costilla
County Of Costilla is an health care organization with primary practice located at 233 Main Street, Suite C. , San Luis CO 81152. The organization recently has only one registered license in Agencies / Public Health or Welfare, which is considered as the primary health care specialty. County Of Costilla can be contacted via phone (719) 672-3465, or through Quintana, Joseph via phone (719) 672-3465.

Contact Information

Primary practice address
233 Main Street, Suite C. San Luis CO 81152
Phone: (719) 672-3465
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Quintana, Joseph Doctor of Medicine (MD)
Phone: (719) 672-3465

Health care specialties

SpecialtyCodeLicense #State
Agencies / Public Health or Welfare 251K00000X

Profile Details

NPI number 1427722669
LBN Legal business name County Of Costilla
DBA Doing business as
Authorized official Quintana, Joseph Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 2nd, 2021
Last updated Aug 2nd, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427722669 NPPES
Colorado MEDICAID 013044542

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