Organization Name: | PLAINS MEDICAL CENTER, INC, |
NPI Number: | 1245234525 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MORGAN G HONEA (CHIEF EXECUTIVE DIRECTOR) |
Mailing Address: | 820 1st St Limon |
State: | CO US |
Postal Code: | 808281120 |
Phone Number: | 7197654777 |
Fax Number: | 7197654357 |
NPI Enumeration Date: | 06/02/2005 |
NPI Last Update Date: | 06/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QF0400X |
License Number: | 0677 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
Taxonomy Definition: |