Organization
KIT CARSON COUNTY HEALTH SERVICES DISTRICT
Active
Other names
Stratton Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA L BRIEGEL (MANAGER)
(719) 346-9481
Entity
Organization
Contact information
Practice address
500 NEBRASKA AVE, STRATTON, CO 80836-1366
(719) 348-4650
(719) 348-4653
Mailing address
500 NEBRASKA AVE, STRATTON, CO 80836-1366
(719) 348-4650
(719) 348-4653
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
0905
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41388330
—
CO
Enumeration date
09/08/2006
Last updated
02/23/2021
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