Organization
HIGH PLAINS COMMUNITY HEALTH CENTER INCORPORATED
Active
Parent organization
HIGH PLAINS COMMUNITY HEALTH CENTER INCORPORATED
Other names
High Plains Wiley Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
HIGH PLAINS COMMUNITY HEALTH CENTER INCORPORATED
Authorized official
ROBERT JAY BROOKE (EXECUTIVE DIRECTOR)
(719) 336-0261
Entity
Organization
Contact information
Practice address
302 MAIN, WILEY, CO 81092
(719) 829-4286
(719) 829-4288
Mailing address
201 KENDALL DR, LAMAR, CO 81052-3939
(719) 336-0261
(719) 336-0265
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/25/2013
Last updated
04/15/2014
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