Organization
WEST CUSTER COUNTY HOSPITAL DISTRICT
Active
Parent organization
WEST CUSTER COUNTY HOSPITAL DISTRICT
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEST CUSTER COUNTY HOSPITAL DISTRICT
Authorized official
MRS. THERESA KENNEDY (CHIEF FINANCIAL OFFICER)
(719) 783-2380
Entity
Organization
Contact information
Practice address
704 EDWARDS AVE, WESTCLIFFE, CO 81252-8588
(719) 783-2380
(719) 783-2377
Mailing address
704 EDWARDS AVE, WESTCLIFFE, CO 81252-8588
(719) 783-2380
(719) 783-2377
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
0178
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05684006
—
CO
Enumeration date
07/08/2005
Last updated
04/06/2018
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