| High Plains Community Health Center Pharmacy | |
|
201 Kendall Dr Lamar CO 81052-3939 | |
| (719) 336-0261 | |
| (719) 336-0265 |
| Full Name | High Plains Community Health Center Pharmacy |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 201 Kendall Dr, Lamar, Colorado |
| Authorized Official Name and Position | Jay Brooke (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7193360261 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| High Plains Community Health Center Pharmacy 201 Kendall Dr Lamar CO 81052-3939 Ph: (719) 336-0261 | High Plains Community Health Center Pharmacy 201 Kendall Dr Lamar CO 81052-3939 Ph: (719) 336-0261 |
| NPI Number | 1043592850 |
|---|---|
| Provider Enumeration Date | 09/16/2011 |
| Last Update Date | 09/16/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043592850 | NPI | - | NPPES |
| 05638572 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 436 (Colorado) | Primary |
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