County of Kiowa Hospital District
Organization Active NPI Rural Health Clinic/Center · Eads, CO
NPI 1659464709 · NPPES record last updated Oct 6, 2025
Key facts
- NPI
- 1659464709
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- COUNTY OF KIOWA HOSPITAL DISTRICT
- Practice address
- 1211 Luther St
Eads, CO 81036 - Phone
- (719) 438-2251
- Fax
- (719) 438-2254
- NPI assigned
- Oct 2, 2006
- Organization subpart
- No
Authorized official
- Name
- Shannon Dixon
- Title
- Cfo
- Phone
- (719) 438-5401
Owned or controlled facilities with NPI records 1
Other NPIs on the same Medicare enrollment 2
Other NPIs with the same Medicare PAC ID 2
Related certifications (CCN) 1
Practitioners 9
-
Rachel Bletzacker, FNP-BC
-
Sharon L Hendricks, DNP/ENP/FNP/AGACNP
-
Erik David Ritch, MD
-
Morgan Lee King, PA-C
-
Dennis Joseph Linderman, DO, MPH
-
Jeanette Weiser, ARNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CO
Rural health clinic certification: CCN 068501
- Legal name
- COUNTY OF KIOWA HOSPITAL DISTRICT
- Doing business as
- WEISBROD CLINIC
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Apr 1, 2005
- Last certification
- Apr 4, 2024
- Ownership / control type
- For profit – corporation
- Organization structure
- Other · Non-profit
- Incorporated
- Nov 27, 1992 in CO
- Enrollment address
- 1211 Luther St
Eads, CO 81036-0817 - Related CCNs
- 061300
All disclosed owners & managing parties 2
| Name | Role | Since | Share |
|---|---|---|---|
| County of Kiowa Hospital District |
5% Or Greater Direct Ownership Interest | May 19, 2023 | 100% |
| Shannon Dixon |
Corporate Officer |
Oct 26, 2006 | |
| W-2 Managing Employee |
Oct 26, 2006 |
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Weisbrod Health |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Nov 27, 1992 |
| Weisbrod Health |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Nov 27, 1992 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050518000829 | CO | Part a Provider - Rural Health Clinic | 5698716827 | Practice locations: Eads, CO |
| O20090520000596 | CO | Part B Supplier - Clinic/Group Practice | 5698716827 |
Receives reassigned benefits from 11 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Eads, CO |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
1211 Luther St
Eads, CO 81036
Mailing address
PO Box 817
Eads, CO 81036-0817
Phone (719) 438-2251
Other names
- Weisbrod Clinic
Other providers in Eads, CO
- Michael Briggs Archer Sr.
- Lindsey M Barlow
- Rachel Bletzacker
- County of Kiowa Hospital District
- County of Kiowa Hospital District
- County of Kiowa Hospital District
- Renay Marie Crain
- Tom Davis
- Chanelle L Duvall
All providers in Eads, 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 Oct 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.