| Organization Name: | HIGH PLAINS MIGRANT |
| NPI Number: | 1104108083 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAY BROOKE (EXECUTIVE DIRECTOR) |
| Mailing Address: | 201 Kendall Dr Lamar |
| State: | CO US |
| Postal Code: | 810523939 |
| Phone Number: | 7193360261 |
| Fax Number: | 7193360265 |
| NPI Enumeration Date: | 09/15/2011 |
| NPI Last Update Date: | 09/15/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Migrant Health |
| Taxonomy Definition: | |