High Plains Community Health Center, Inc.
Organization Active NPI Community Health Clinic/Center · Lamar, CO
NPI 1043592850 · NPPES record last updated Sep 16, 2011
Key facts
- NPI
- 1043592850
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Health Clinic/Center 261QC1500X
- License
- 436 (CO)
- Legal business name
- HIGH PLAINS COMMUNITY HEALTH CENTER, INC.
- Practice address
- 201 Kendall Dr
Lamar, CO 81052-3939 - Phone
- (719) 336-0261
- Fax
- (719) 336-0265
- NPI assigned
- Sep 16, 2011
- Organization subpart
- No
Authorized official
- Name
- Mr. Jay Brooke, MSW
- Title
- Executive Director
- Phone
- (719) 336-0261
Corporate family (same tax ID) 7
National Provider Directory
- Tax ID family
- High Plains Community H
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | 436 | CO | Yes |
Addresses
Primary practice location
201 Kendall Dr
Lamar, CO 81052-3939
Mailing address
201 Kendall Dr
Lamar, CO 81052-3939
Phone (719) 336-0261
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05638572 | Medicaid | CO |
Other names
- High Plains Community Health Center Pharmacy
Other providers in Lamar, CO
- Pauletta Hickman
- High Plains Community Health Center Incorporated
- High Plains Community Health Center Incorporated
- High Plains Community Health Center Incorporated
- High Plains Community Health Center Incorporated
- High Plains Community Health Center, Incorporated
- High Plains Migrant
- Meagan L Hillman
- Hilton C Ray MDPC
- Jacqueline Rae Hiner
All providers in Lamar, CO · Community Health Clinic/Center in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.