| Plains Medical Center, Inc. | |
|
320 Comanche Street Kiowa CO 80117 | |
| (720) 389-9763 | |
| (720) 328-0912 |
| Full Name | Plains Medical Center, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 320 Comanche Street, Kiowa, Colorado |
| Authorized Official Name and Position | Morgan G Honea (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7197752367 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Plains Medical Center, Inc. 820 1st Street Limon CO 80828-1120 Ph: (719) 775-2367 | Plains Medical Center, Inc. 320 Comanche Street Kiowa CO 80117 Ph: (720) 389-9763 |
| NPI Number | 1083979660 |
|---|---|
| Provider Enumeration Date | 07/10/2012 |
| Last Update Date | 12/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083979660 | NPI | - | NPPES |
| 7203899763 | Other | CO | TELEPHONE NUMBER-KIOWA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Health Center At Kiowa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 320 Commanche Street, Kiowa, CO 80117 Phone: 719-632-5700 Fax: 720-328-0912 |