Organization
HIGH PLAINS COMMUNITY HEALTH CENTER, INC.
Active
Other names
High Plains Community Health Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY BROOKE MSW (EXECUTIVE DIRECTOR)
(719) 336-0261
Entity
Organization
Contact information
Practice address
201 KENDALL DR, LAMAR, CO 81052-3939
(719) 336-0261
(719) 336-0265
Mailing address
201 KENDALL DR, LAMAR, CO 81052-3939
(719) 336-0261
(719) 336-0265
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
436
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05638572
—
CO
Enumeration date
09/16/2011
Last updated
09/16/2011
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