Organization
KIT CARSON COUNTY HEALTH SERVICES DISTRICT
Active
Other names
Kit Carson County Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRYAN BOGLE CEO (CHIEF EXECUTIVE OFFICER)
(719) 346-4700
Entity
Organization
Contact information
Practice address
286 16TH STREET, BURLINGTON, CO 80807-1651
(719) 346-5311
(719) 346-5647
Mailing address
286 16TH STREET, BURLINGTON, CO 80807-1651
(719) 346-5311
(719) 346-5647
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
0905
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05037007
—
CO
05
—
78774080
—
CO
Enumeration date
10/06/2006
Last updated
08/24/2021
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