| NPI | 1487775854 |
|---|---|
| Doing Business As | FORT LOGAN SCHOOL HEALTH OFFICE |
| Entity Type | Organization |
| Authorized Contact | DIANE MILLER Public Health Administrator 606-365-3106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |