Prowers County Hospital District

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

010217 Issued in CO

Legal business name

PROWERS COUNTY HOSPITAL DISTRICT

Doing business as

Las Animas Family Practice

Practice address

215 Maple Avenue
Las Animas, CO 81054-1029

Phone

(719) 456-6000

Fax

(719) 456-9701

NPI assigned

Dec 21, 2009

Last updated

Oct 20, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

PROWERS COUNTY HOSPITAL DISTRICTAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Karen L Bryant

Title

C.O.O.

Phone

(719) 336-5147

Specialties & licenses 1

Addresses

Other names 1

• Las Animas Family Practice Doing business as

Part of

Prowers County Hospital District

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Prowers County Hospital District

  dba Prowers Medical Center Home Health

  • Home Health Agency
  • Lamar, CO
  • NPI 1174511414

  Member Of

  NPD member

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1261353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413763200000",
    "number": "1033448170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 KENDALL DRIVE",
            "city": "LAMAR",
            "state": "CO",
            "postal_code": "810523942",
            "telephone_number": "719-336-5573",
            "fax_number": "719-336-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 MAPLE AVENUE",
            "city": "LAS ANIMAS",
            "state": "CO",
            "postal_code": "810541029",
            "telephone_number": "719-456-6000",
            "fax_number": "719-456-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROWERS COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROWERS COUNTY HOSPITAL DISTRICT",
        "enumeration_date": "2009-12-21",
        "last_updated": "2014-10-20",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "C.O.O.",
        "authorized_official_telephone_number": "719-336-5147"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CO",
            "license": "010217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Las Animas Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven Anthony Martinez Jr., LAC
• Jimmy Lee McCrackin, D.C.
• David Oba
• Richard Orr
• Pharmacy Services Inc (ValUMed Pharmacy)
• Trista D Pryor, RN
• Region Six Alcohol & Drug Abuse Inc. (Resada)
• Region Six Alcohol & Drug Abuse Inc.
• Region Six Alcohol & Drug Abuse Inc. (Resada)
• Richard Orr (Orr Construction)

• Clinic/Center in Las Animas, CO
• Providers in Las Animas, CO by specialty
• Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.