NPIMap

Organization Active NPI

County of Kiowa Hospital District

Doing business as Weisbrod Clinic

  • Rural Health Clinic/Center
  • Eads, CO
National Provider Identifier
1659464709
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
COUNTY OF KIOWA HOSPITAL DISTRICT
Doing business as
Weisbrod Clinic
Practice address
1211 Luther St
Eads, CO 81036
Phone
(719) 438-2251
Fax
(719) 438-2254
NPI assigned
Oct 2, 2006
Last updated
Oct 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Authorized official

Name
Shannon Dixon
Title
Cfo
Phone
(719) 438-5401

Specialties & licenses 1

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

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 1

  • Weisbrod Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1659464709. Details of each certification follow.

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
OtherNon-profit
Incorporated
Nov 27, 1992 in CO
Enrollment address
1211 Luther St
Eads, CO 81036-0817
Related CCNs
061300

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
County of Kiowa Hospital District Organization, Eads, CO 5% Or Greater Direct Ownership Interest May 19, 2023 100%
Shannon Dixon Individual Corporate OfficerCfo Oct 26, 2006
W-2 Managing EmployeeCfo Oct 26, 2006

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Weisbrod HealthEads, CO, CCN 061300 Hospital 5% Or Greater Direct Ownership Interest (100%) Nov 27, 1992
Weisbrod HealthEads, CO, CCN 06Z300 Hospital 5% Or Greater Direct Ownership Interest (100%) Nov 27, 1992

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1659464709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 817",
            "city": "EADS",
            "state": "CO",
            "postal_code": "810360817",
            "telephone_number": "719-438-2251",
            "fax_number": "719-438-2254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 LUTHER ST",
            "city": "EADS",
            "state": "CO",
            "postal_code": "81036",
            "telephone_number": "719-438-2251",
            "fax_number": "719-438-2254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF KIOWA HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "719-438-5401"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Weisbrod Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eads, CO

Sources for this page

Verify at the official NPI Registry.