Provider Demographics
NPI:1215990064
Name:ALAMOSA COUNTY NURSING SERVICE
Entity type:Organization
Organization Name:ALAMOSA COUNTY NURSING SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GEISER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:719-589-6639
Mailing Address - Street 1:8900 INDEPENDENCE WAY
Mailing Address - Street 2:
Mailing Address - City:ALAMOSA
Mailing Address - State:CO
Mailing Address - Zip Code:81101
Mailing Address - Country:US
Mailing Address - Phone:719-589-6639
Mailing Address - Fax:719-589-1103
Practice Address - Street 1:8900 INDEPENDENCE WAY
Practice Address - Street 2:
Practice Address - City:ALAMOSA
Practice Address - State:CO
Practice Address - Zip Code:81101
Practice Address - Country:US
Practice Address - Phone:719-589-6639
Practice Address - Fax:719-589-1103
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALAMOSA COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-04-11
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO04138616Medicaid
CO=========OtherTHIRD PARTY INSURANCE