Organization
COUNTY OF KIOWA HOSPITAL DISTRICT
Active
Other names
Wiley Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON DIXON (CFO)
(719) 438-5401
Entity
Organization
Contact information
Practice address
302 MAIN ST, WILEY, CO 81092
(719) 829-4627
(719) 829-4269
Mailing address
PO BOX 99, WILEY, CO 81092-0099
(719) 829-4627
(719) 829-4269
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/09/2006
Last updated
06/11/2018
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