Plains Medical Center, Inc.

Organization Active NPI Federally Qualified Health Center (FQHC) · Kiowa, CO

NPI 1083979660 · NPPES record last updated Dec 7, 2012

Key facts

NPI
1083979660
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
PLAINS MEDICAL CENTER, INC.
Practice address
320 Comanche Street
Kiowa, CO 80117
Phone
(720) 389-9763
Fax
(720) 328-0912
NPI assigned
Jul 10, 2012
Organization subpart
Yes
Parent organization (as reported)
PLAINS MEDICAL CENTER, INC.

Authorized official

Name
Morgan G Honea
Title
Chief Executive Officer
Phone
(719) 775-2367

National Provider Directory

Part of
Plains Medical Center

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Yes

Addresses

Primary practice location

320 Comanche Street
Kiowa, CO 80117

Mailing address

820 1St Street
Limon, CO 80828-1120
Phone (719) 775-2367

Other identifiers

IdentifierTypeStateIssuer
7203899763OtherCOTELEPHONE NUMBER-KIOWA

Other providers in Kiowa, CO

All providers in Kiowa, CO · Federally Qualified Health Center (FQHC) in Colorado

Sources for this page

Verify at the official NPI Registry.