# COUNTY OF KIOWA HOSPITAL DISTRICT

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Wiley Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134139504
- **Authorized official:** SHANNON DIXON (CFO)
- **Authorized official phone:** (719) 438-5401

## Contact information

- **Practice address:** 302 MAIN ST, WILEY, CO 81092
- **Practice address phone:** (719) 829-4627
- **Practice address fax:** (719) 829-4269
- **Mailing address:** PO BOX 99, WILEY, CO 81092-0099
- **Mailing address phone:** (719) 829-4627
- **Mailing address fax:** (719) 829-4269

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/09/2006
- **Last updated:** 06/11/2018