San Juan Basin Health Department

LBN: San Juan Basin Health Department
San Juan Basin Health Department is an health care organization with primary practice located at 701 Camino Del Rio Southwest Smile Makers, Durango CO 81301. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. San Juan Basin Health Department can be contacted via phone (970) 385-4480, or through Jollon, Liane via phone (970) 247-5702.

Contact Information

Primary practice address
701 Camino Del Rio Southwest Smile Makers Durango CO 81301
Phone: (970) 385-4480
Fax: (970) 247-7882
Website:
Map and Directions
Authorized official contact:
Name: Jollon, Liane Registered Nurse (RN)
Phone: (970) 247-5702

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1730101726
LBN Legal business name San Juan Basin Health Department
DBA Doing business as
Authorized official Jollon, Liane Registered Nurse (RN)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 25th, 2006
Last updated Sep 22nd, 2014 - about 10 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 1730101726 NPPES
Colorado MEDICAID 96635339

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