Provider Demographics
NPI:1588955769
Name:WELD COUNTY EMPLOYEE MEDICAL CLINIC
Entity type:Organization
Organization Name:WELD COUNTY EMPLOYEE MEDICAL CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ROSE MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAINDA
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:970-304-6590
Mailing Address - Street 1:1551 N 17TH AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80631-9400
Mailing Address - Country:US
Mailing Address - Phone:970-304-6590
Mailing Address - Fax:970-304-6591
Practice Address - Street 1:1551 N 17TH AVE STE 1
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80631-9400
Practice Address - Country:US
Practice Address - Phone:970-304-6590
Practice Address - Fax:970-304-6591
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CERNER CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-04-22
Last Update Date:2011-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health