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Organization
COUNTY OF KIOWA HOSPITAL DISTRICT
Active
Organization
COUNTY OF KIOWA HOSPITAL DISTRICT
Active
Other names
Wiley Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON DIXON (CFO)
(719) 438-5401
Entity
Organization
Contact information
Practice address
302 MAIN ST, WILEY, CO 81092
(719) 829-4627
(719) 829-4269
Mailing address
PO BOX 99, WILEY, CO 81092-0099
(719) 829-4627
(719) 829-4269
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/09/2006
Last updated
06/11/2018
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