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KEEFE MEMORIAL HEALTH SERVICE DISTRICT NPI 1396143574


NPI Information

NPI: 1396143574
Provider Name: KEEFE MEMORIAL HEALTH SERVICE DISTRICT

Doing Business As: PRAIRIE VIEW CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
615 WEST 5TH NORTH
CHEYENNE WELLS, CO
ZIP 80810
Phone: (719) 767-5661
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KEEFE MEMORIAL HEALTH SERVICE DISTRICT is a rural health clinic center in Cheyenne Wells, CO. KEEFE MEMORIAL HEALTH SERVICE DISTRICT NPI is 1396143574. The provider is registered as an organization entity type.
The provider Is Doing Business As Prairie View Clinic.

The provider's business location address is:

615 WEST 5TH NORTH
CHEYENNE WELLS, CO
ZIP 80810
Phone: (719) 767-5661
Fax: (719) 767-8042

The provider's authorized official is Mark Rossi .
The authorized official title is Ceo and has the following contact phone number (719) 767-5661.

The enumeration date for this NPI number is 12/19/2014 and was last updated on 7/12/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR1300XClinic/CenterRural HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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