# HIGH PLAINS COMMUNITY HEALTH CENTER INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Holly High Plains Dispensary
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316304470
- **Authorized official:** ROBERT J BROOKE (CEO)
- **Authorized official phone:** (719) 336-0261

## Contact information

- **Practice address:** 201 KENDALL DR, LAMAR, CO 81052-3939
- **Practice address phone:** (719) 336-0261
- **Practice address fax:** (719) 336-0265
- **Mailing address:** 201 KENDALL DR, LAMAR, CO 81052-3939
- **Mailing address phone:** (719) 336-0261
- **Mailing address fax:** (719) 336-0265

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 01/20/2016
- **Last updated:** 01/20/2016
