| Health Center At Kiowa | |
|
320 Commanche Street Kiowa CO 80117 | |
| (719) 632-5700 | |
| (720) 328-0912 |
| Full Name | Health Center At Kiowa |
|---|---|
| Speciality | Clinic/Center |
| Location | 320 Commanche Street, Kiowa, Colorado |
| Authorized Official Name and Position | Cindy Pratt (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7193446188 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Health Center At Kiowa 3205 N Academy Blvd Suite 130 Colorado Springs CO 80917 Ph: (719) 632-5700 | Health Center At Kiowa 320 Commanche Street Kiowa CO 80117 Ph: (719) 632-5700 |
| NPI Number | 1205255304 |
|---|---|
| Provider Enumeration Date | 04/16/2014 |
| Last Update Date | 05/18/2021 |
| Medicare PECOS PAC ID | 4688583974 |
|---|---|
| Medicare Enrollment ID | O20141013001740 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205255304 | NPI | - | NPPES |
| 67134866 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Colorado) | Primary |
Plains Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 Comanche Street, Kiowa, CO 80117 Phone: 720-389-9763 Fax: 720-328-0912 |