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Organization

PROWERS COUNTY HOSPITAL DISTRICT

Active
Parent organization
PROWERS COUNTY HOSPITAL DISTRICT
Other names
Las Animas Family Practice
Organization subpart
Yes

Provider details

NPI number
Legal business name
PROWERS COUNTY HOSPITAL DISTRICT
Authorized official
KAREN L BRYANT (C.O.O.)
(719) 336-5147
Entity
Organization

Contact information

Practice address
215 MAPLE AVENUE, LAS ANIMAS, CO 81054-1029
(719) 456-6000
(719) 456-9701
Mailing address
401 KENDALL DRIVE, LAMAR, CO 81052-3942
(719) 336-5573
(719) 336-8370

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
010217
CO

Other

Enumeration date
12/21/2009
Last updated
10/20/2014
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