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Organization

PROWERS COUNTY HOSPITAL DISTRICT

Active
Parent organization
PROWERS COUNTY HOSPITAL DISTRICT
Other names
Prowers Medical Center Home Health
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
401 KENDALL DRIVE, LAMAR, CO 81052-3942
(719) 336-6881
(719) 336-7089
Mailing address
401 KENDALL DRIVE, LAMAR, CO 81052-3942
(719) 336-4343
(719) 336-7207

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0402RX
CO
251E00000X
Home Health Agency
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05701925
CO
Enumeration date
10/11/2005
Last updated
10/23/2014
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