Organization
KEEFE MEMORIAL HOSPITAL
Active
Other names
Prairie View Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLENE KORRELL (CEO)
(719) 767-5662
Entity
Organization
Contact information
Practice address
615 W 5TH N, CHEYENNE WELLS, CO 80810-0578
(719) 767-5669
Mailing address
PO BOX 578, CHEYENNE WELLS, CO 80810-0578
(719) 767-5661
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/06/2008
Last updated
11/11/2009
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