Keefe Memorial Health Service District
Organization Active NPI Rural Health Clinic/Center · Kit Carson, CO
NPI 1457749608 · NPPES record last updated Aug 6, 2025
Key facts
- NPI
- 1457749608
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- KEEFE MEMORIAL HEALTH SERVICE DISTRICT
- Practice address
- 102 E 2ND Avenue
Kit Carson, CO 80825 - Phone
- (719) 962-3501
- Fax
- (719) 962-3403
- NPI assigned
- Dec 22, 2014
- Organization subpart
- No
Authorized official
- Name
- Claressa Millsap
- Title
- Ceo
- Phone
- (719) 767-5661
Other NPIs on the same Medicare enrollment 2
Corporate family (same tax ID) 2
Practitioners 38
-
Ehrin J Armstrong, M.D.
-
Erin Marie Baumgartner, M.D.
-
Edward David Boudreau, D.O.
-
Genna Mae Cochran, APN
-
Lauren Elizabeth Gerk, DNP, CRNA
-
Amanda Michelle Heibult, FNP-C
-
Mandy Joiner, FNP
-
Noah Tal Kaufman, MD
-
Mandip KC, MD
-
Holly Kosanovich, MS, CCC-SLP
-
Veronica Lima, M.S., CCC-SLP
-
Allison Page Lowe, FNP-C
-
Joanna Luong, NP
-
Donna Lee March, DNP, APRN, NP-C
-
Suzanne Masias, CRNA
-
Michael Justin McFall, D.O.
-
Brian Loyd Miles, MD
-
Kurt F Papenfus, M.D.
-
Meghan Riley, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150309002177 | CO | Part B Supplier - Clinic/Group Practice | 8325364441 |
Receives reassigned benefits from 39 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Cheyenne Wells, CO; Kit Carson, CO |
National Provider Directory
- Tax ID family
- Keefe Memorial Health Service District
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
102 E 2ND Avenue
Kit Carson, CO 80825
Mailing address
PO Box 578
Cheyenne Wells, CO 80810-0578
Phone (719) 767-5661
Other names
- Kit Carson Clinic
Other providers in Kit Carson, CO
All providers in Kit Carson, CO · Rural 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 Aug 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.