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Organization

WEST CUSTER COUNTY HOSPITAL DISTRICT

Active
Parent organization
WEST CUSTER COUNTY HOSPITAL DISTRICT
Other names
Custer County Medical Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
WEST CUSTER COUNTY HOSPITAL DISTRICT
Authorized official
TERRY NIMNICHT (CEO)
(719) 783-2380
Entity
Organization

Contact information

Practice address
704 EDWARDS ST, WESTCLIFFE, CO 81252-8588
(719) 783-2380
Mailing address
6501 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3248
(952) 653-2525

Taxonomy

Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary

Other

Enumeration date
05/13/2013
Last updated
05/13/2013
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