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Organization

PROWERS COUNTY HOSPITAL DISTRICT

Active
Parent organization
PROWERS COUNTY HOSPITAL DISTRICT
Other names
Prowers Medical Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
PROWERS COUNTY HOSPITAL DISTRICT
Authorized official
KAREN L BRYANT (CEO)
(719) 336-4343
Entity
Organization

Contact information

Practice address
403 KENDALL DR, LAMAR, CO 81052-3953
(719) 336-7005
(719) 336-7026
Mailing address
401 KENDALL DRIVE, LAMAR, CO 81052-3942
(719) 336-4343
(719) 336-7207

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician
207V00000X
Obstetrics & Gynecology Physician
207X00000X
Orthopaedic Surgery Physician
208000000X
Pediatrics Physician
208600000X
Surgery Physician
363A00000X
Physician Assistant
363LA2200X
Adult Health Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04005138
CO
Enumeration date
07/03/2007
Last updated
05/27/2021
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