| Organization Name: | SPANISH PEAKS OUTREACH AND WOMEN'S CLINIC |
| NPI Number: | 1760851737 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEBBIE LOUISE CHANNEL (CLINIC MANGER) |
| Mailing Address: | 129 Kansas Ave Walsenburg |
| State: | CO US |
| Postal Code: | 810891818 |
| Phone Number: | 7197385200 |
| Fax Number: | 7197382732 |
| NPI Enumeration Date: | 09/21/2015 |
| NPI Last Update Date: | 03/21/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0050X |
| License Number: | 010720 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CO |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Family Planning, Non-Surgical |
| Taxonomy Definition: | An entity, facility, or distinct part of a facility, or mobile unit providing non-surgical, family planning/reproductive services including physical examination, laboratory services such as PAP or pregnancy tests; pregnancy, pregnancy prevention/contraceptive, and nutritional counseling, and contraceptives or prescriptions for contraceptives. |