Organization Active NPI

Prowers County Hospital District

Doing business as Convenient Care Clinic

  • Rural Health Clinic/Center
  • Lamar, CO
National Provider Identifier
1912232349
Registry record updated Jun 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
PROWERS COUNTY HOSPITAL DISTRICT
Doing business as
Convenient Care Clinic
Practice address
403 Kendall Dr Ste C
Lamar, CO 81052-3953
Phone
(719) 336-6767
Fax
(719) 336-7217
NPI assigned
Oct 2, 2009
Last updated
Jun 2, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
PROWERS COUNTY HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 2, 2010

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

Authorized official

Name
Mrs. Karen L Bryant
Title
Chief Operating Officer
Phone
(719) 336-5147

Specialties & licenses 1

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

Addresses

Primary practice location

403 Kendall Dr Ste C
Lamar, CO 81052-3953

Mailing address

403 Kendall Dr Ste C
Lamar, CO 81052-3953
Phone (719) 336-6767

Other names 1

  • Convenient Care Clinic Doing business as

National Provider Directory

National Provider Directory
Part of
Prowers County Hospital District

Locations

403 Kendall Dr
Ste C
Lamar, CO 81052
Phone (719) 336-6767

NPI Registry JSON

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

{
    "created_epoch": "1254441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275436800000",
    "number": "1912232349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 KENDALL DR STE C",
            "city": "LAMAR",
            "state": "CO",
            "postal_code": "810523953",
            "telephone_number": "719-336-6767",
            "fax_number": "719-336-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 KENDALL DR STE C",
            "city": "LAMAR",
            "state": "CO",
            "postal_code": "810523953",
            "telephone_number": "719-336-6767",
            "fax_number": "719-336-7217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROWERS COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROWERS COUNTY HOSPITAL DISTRICT",
        "enumeration_date": "2009-10-02",
        "last_updated": "2010-06-02",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "719-336-5147",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Convenient Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lamar, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.