Organization
KIT CARSON COUNTY HEALTH SERVICE DISTRICT
Active
Parent organization
KIT CARSON COUNTY HEALTH SERVICE DIST
Other names
Kit Carson County Memorial Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
KIT CARSON COUNTY HEALTH SERVICE DIST
Authorized official
BRYAN BOGLE (CHIEF EXECUTIVE OFFICER)
(719) 346-5311
Entity
Organization
Contact information
Practice address
286 16TH STREET, BURLINGTON, CO 80807
(719) 346-5311
(719) 931-1256
Mailing address
286 16TH STREET, BURLINGTON, CO 80807
(719) 346-5311
(719) 931-1256
Taxonomy
Speciality
Code
Description
License number
State
261QC0050X
Critical Access Hospital Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78774080
—
CO
Enumeration date
09/21/2022
Last updated
09/21/2022
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