Organization Name: | PLAINS MEDICAL CENTER, INC. |
NPI Number: | 1083979660 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MORGAN G HONEA (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 320 Comanche Street Kiowa |
State: | CO US |
Postal Code: | 80117 |
Phone Number: | 7203899763 |
Fax Number: | 7203280912 |
NPI Enumeration Date: | 07/10/2012 |
NPI Last Update Date: | 12/07/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QF0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
Taxonomy Definition: |