Organization
KIT CARSON COUNTY HEALTH SERVICES DISTRICT
Active
Other names
Parke Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA L BRIEGEL (MANAGER)
(719) 346-9481
Entity
Organization
Contact information
Practice address
182 16TH ST, BURLINGTON, CO 80807-1649
(719) 346-9481
(719) 346-9485
Mailing address
182 16TH ST, BURLINGTON, CO 80807-1649
(719) 346-9481
(719) 346-9485
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
0905
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
48557226
—
CO
01
—
C248008
MEDICARE PART B GROUP
CO
Enumeration date
08/31/2006
Last updated
02/23/2021
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