| Kit Carson County Health Services District | |
|
182 16th St Burlington CO 80807-1649 | |
| (719) 346-9481 | |
| (719) 346-9485 |
| Full Name | Kit Carson County Health Services District |
|---|---|
| Speciality | Clinic/Center |
| Location | 182 16th St, Burlington, Colorado |
| Authorized Official Name and Position | Brenda L Briegel (MANAGER) |
| Authorized Official Contact | 7193469481 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kit Carson County Health Services District 182 16th St Burlington CO 80807-1649 Ph: (719) 346-9481 | Kit Carson County Health Services District 182 16th St Burlington CO 80807-1649 Ph: (719) 346-9481 |
| NPI Number | 1932211596 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 02/23/2021 |
| Medicare PECOS PAC ID | 4385637917 |
|---|---|
| Medicare Enrollment ID | O20040407001317 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932211596 | NPI | - | NPPES |
| C248008 | Other | CO | MEDICARE PART B GROUP |
| 48557226 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 0905 (Colorado) | Primary |
| Provider Name | Charles E Frankum |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184671927 PECOS PAC ID: 5890788459 Enrollment ID: I20040407001470 |
| Provider Name | Ernest E Nitka |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063485936 PECOS PAC ID: 1850377359 Enrollment ID: I20040625000613 |
| Provider Name | Gary D Kliewer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245208859 PECOS PAC ID: 9335128370 Enrollment ID: I20040714001279 |
| Provider Name | Michael Scott Solomon |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1891736633 PECOS PAC ID: 1254396641 Enrollment ID: I20041124000675 |
| Provider Name | Sacramento Pimentel |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1194818666 PECOS PAC ID: 9032241336 Enrollment ID: I20100722000445 |
| Provider Name | Jesus Jaime Perez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1134213259 PECOS PAC ID: 3476685777 Enrollment ID: I20100722000473 |
| Provider Name | Laura Kathleen Kasher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881805794 PECOS PAC ID: 2264627488 Enrollment ID: I20101115000131 |
| Provider Name | Samuel Roos Sims |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063635621 PECOS PAC ID: 3173690724 Enrollment ID: I20110504000234 |
| Provider Name | Lauren Elizabeth Gerk |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427325281 PECOS PAC ID: 7911167804 Enrollment ID: I20120330000297 |
| Provider Name | Benjamin Gehret |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619423068 PECOS PAC ID: 1951699230 Enrollment ID: I20161019002846 |
| Provider Name | Paul Val Meredith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871607341 PECOS PAC ID: 1456387380 Enrollment ID: I20170304000129 |
| Provider Name | Jesse Enoch Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174099170 PECOS PAC ID: 7416296744 Enrollment ID: I20200701000579 |
| Provider Name | Krista Shalynn Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134781446 PECOS PAC ID: 6406270248 Enrollment ID: I20200727000951 |
| Provider Name | Michelle Dawn Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760910178 PECOS PAC ID: 3375972490 Enrollment ID: I20200803001188 |
| Provider Name | Jacob Oppenheimer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1164877809 PECOS PAC ID: 2567863368 Enrollment ID: I20210630003742 |
| Provider Name | Christopher C Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457924557 PECOS PAC ID: 8022414465 Enrollment ID: I20210910000835 |
| Provider Name | Alexandra J Hitchcock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447976238 PECOS PAC ID: 9537536859 Enrollment ID: I20221029000247 |
| Provider Name | Josh Hill |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447224993 PECOS PAC ID: 2466476536 Enrollment ID: I20230502001377 |
| Provider Name | Amanda Folsom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851916837 PECOS PAC ID: 1254728629 Enrollment ID: I20240102003505 |
| Provider Name | Lani Michelle Magee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831626217 PECOS PAC ID: 9436405131 Enrollment ID: I20240430000105 |
Poudre Valley Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 286 16th St, Burlington, CO 80807 Phone: 719-365-6317 Fax: 719-365-6317 |