# PROWERS COUNTY HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PROWERS COUNTY HOSPITAL DISTRICT
- **Other names:** Prowers Medical Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1508064379
- **Legal business name:** PROWERS COUNTY HOSPITAL DISTRICT
- **Authorized official:** KAREN L BRYANT (CEO)
- **Authorized official phone:** (719) 336-4343

## Contact information

- **Practice address:** 403 KENDALL DR, LAMAR, CO 81052-3953
- **Practice address phone:** (719) 336-7005
- **Practice address fax:** (719) 336-7026
- **Mailing address:** 401 KENDALL DRIVE, LAMAR, CO 81052-3942
- **Mailing address phone:** (719) 336-4343
- **Mailing address fax:** (719) 336-7207

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 07/03/2007
- **Last updated:** 05/27/2021
