Provider Demographics
NPI:1962684837
Name:PROWERS MEDICAL CENTER
Entity Type:Organization
Organization Name:PROWERS MEDICAL CENTER
Other - Org Name:PROWERS MEDICAL CENTER WOMENS RURAL HEALTH CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PATIENT FINANCIAL SERVICES MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:F
Authorized Official - Last Name:OSBORN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-336-5573
Mailing Address - Street 1:301 KENDALL DR
Mailing Address - Street 2:
Mailing Address - City:LAMAR
Mailing Address - State:CO
Mailing Address - Zip Code:81052-3943
Mailing Address - Country:US
Mailing Address - Phone:719-336-3179
Mailing Address - Fax:
Practice Address - Street 1:301 KENDALL DR
Practice Address - Street 2:
Practice Address - City:LAMAR
Practice Address - State:CO
Practice Address - Zip Code:81052-3943
Practice Address - Country:US
Practice Address - Phone:719-336-3179
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-03
Last Update Date:2007-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health