HIGH PLAINS WILEY CLINIC – NPI #1912349465
Clinic/Center

HIGH PLAINS WILEY CLINIC is an AHC clinic located in WILEY, CO. NPPES has assigned the NPI number 1912349465 to HIGH PLAINS WILEY CLINIC on July 25, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “HIGH PLAINS WILEY CLINIC” is a dba name, the actual legal business name for this organization is HIGH PLAINS COMMUNITY HEALTH CENTER INCORPORATED. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 12 years ago on Apr 15, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HIGH PLAINS WILEY CLINIC below.

NPI Profile for
HIGH PLAINS COMMUNITY HEALTH CENTER INCORPORATED

NPI Number
1912349465
Enumeration Date

(about 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HIGH PLAINS COMMUNITY HEALTH CENTER INCORPORATED
Doing Business As (dba): HIGH PLAINS WILEY CLINIC
Primary location
302 MAIN
WILEY, CO 81092
Phone: (719) 829-4286 Fax: (719) 829-4288
Mailing address
201 KENDALL DR
LAMAR, CO 81052-3939
Phone: (719) 336-0261 Fax: (719) 336-0265
Organization Subpart
Yes - HIGH PLAINS WILEY CLINIC is subpart of another organization.
Authorized Official
ROBERT BROOKE
EXECUTIVE DIRECTOR
Phone: (719) 336-0261
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.