Provider Demographics
NPI:1861893851
Name:PARTNER FOR HEALTH, LLC
Entity type:Organization
Organization Name:PARTNER FOR HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:BALDWIN
Authorized Official - Last Name:KINNEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:719-480-2541
Mailing Address - Street 1:813 HUNT AVE
Mailing Address - Street 2:
Mailing Address - City:ALAMOSA
Mailing Address - State:CO
Mailing Address - Zip Code:81101-3236
Mailing Address - Country:US
Mailing Address - Phone:719-480-2541
Mailing Address - Fax:719-589-0768
Practice Address - Street 1:815 WEST AVE
Practice Address - Street 2:
Practice Address - City:ALAMOSA
Practice Address - State:CO
Practice Address - Zip Code:81101-3028
Practice Address - Country:US
Practice Address - Phone:719-480-2541
Practice Address - Fax:719-589-0768
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-09
Last Update Date:2014-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO32767261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty