Provider Demographics
NPI:1023268992
Name:GUNNISON COUNTY FAMILY PLANNING
Entity type:Organization
Organization Name:GUNNISON COUNTY FAMILY PLANNING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, HEALTH AND HUMAN SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:970-641-0209
Mailing Address - Street 1:225 N PINE ST
Mailing Address - Street 2:SUITE E
Mailing Address - City:GUNNISON
Mailing Address - State:CO
Mailing Address - Zip Code:81230-2648
Mailing Address - Country:US
Mailing Address - Phone:970-641-0209
Mailing Address - Fax:997-064-1834
Practice Address - Street 1:225 N PINE ST
Practice Address - Street 2:SUITE E
Practice Address - City:GUNNISON
Practice Address - State:CO
Practice Address - Zip Code:81230-2648
Practice Address - Country:US
Practice Address - Phone:970-641-0209
Practice Address - Fax:997-064-1834
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-26
Last Update Date:2008-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO147251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO04005740Medicaid