Holly High Plains Dispensary

LBN: High Plains Community Health Center Incorporated
Holly High Plains Dispensary is an health care organization with primary practice located at 410 West Colorado , Holly CO 81047-0000. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty. High Plains Community Health Center Incorporated can be contacted via phone (719) 537-6642, or through Brooke, Jay via phone (719) 336-0261.

Contact Information

Primary practice address
410 West Colorado Holly CO 81047-0000
Phone: (719) 537-6642
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brooke, Jay
Phone: (719) 336-0261

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X OO.0000552 Colorado

Profile Details

NPI number 1518322924
LBN Legal business name High Plains Community Health Center Incorporated
DBA Doing business as Holly High Plains Dispensary
Authorized official Brooke, Jay
Entity Organization
Organization subpart 1 No
Enumeration date Dec 30th, 2015
Last updated Apr 11th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1518322924 NPPES
Other 2156199 PK

Popular Providers