NPIMap

Organization Active NPI

Keefe Memorial Health Service District

Doing business as Kit Carson Clinic

  • Rural Health Clinic/Center
  • Kit Carson, CO
National Provider Identifier
1457749608
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
KEEFE MEMORIAL HEALTH SERVICE DISTRICT
Doing business as
Kit Carson Clinic
Practice address
102 E 2ND Avenue
Kit Carson, CO 80825
Phone
(719) 962-3501
Fax
(719) 962-3403
NPI assigned
Dec 22, 2014
Last updated
Aug 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Authorized official

Name
Claressa Millsap
Title
Ceo
Phone
(719) 767-5661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

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 1

  • Kit Carson Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Keefe Memorial Health Service District3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

102 E 2nd Ave
Kit Carson, CO 80825
Phone (719) 962-3501

Practitioners & affiliated clinicians

Practitioners 39

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754438400000",
    "number": "1457749608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 578",
            "city": "CHEYENNE WELLS",
            "state": "CO",
            "postal_code": "808100578",
            "telephone_number": "719-767-5661",
            "fax_number": "719-767-8042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E 2ND AVENUE",
            "city": "KIT CARSON",
            "state": "CO",
            "postal_code": "80825",
            "telephone_number": "719-962-3501",
            "fax_number": "719-962-3403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEEFE MEMORIAL HEALTH SERVICE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-22",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A",
        "authorized_official_last_name": "MILLSAP",
        "authorized_official_first_name": "CLARESSA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "719-767-5661"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kit Carson Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kit Carson Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kit Carson, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.