PRAIRIE VIEW CLINIC
NPI 1003067349
Clinic/Center - Rural Health in Cheyenne Wells, CO

Active since October 06, 2008CLIA 06D1060170 · Waiver
615 W 5TH N, CHEYENNE WELLS, CO 80810(719) 767-5669 Get Directions Write a Review

NPPES record last updated: November 11, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Prairie View Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRAIRIE VIEW CLINIC (NPI 1003067349) is a healthcare organization registered as a rural health in Cheyenne Wells, Colorado and active in the NPI registry since October 2008. The organization holds a CLIA Waiver certificate valid through September 28, 2026 and lists Charlene Korrell, Ceo, as its authorized official.

NPPES Registry Identity

NPI1003067349
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameKEEFE MEMORIAL HOSPITAL
Location Address615 W 5TH NCheyenne Wells, CO 80810-0578
Mailing AddressPo Box 578Cheyenne Wells, CO 80810-0578 · (719) 767-5661
Organization SubpartNo
Authorized OfficialCharlene KorrellCeo · (719) 767-5662
Enumeration DateOctober 6, 2008
Last NPPES UpdateNovember 11, 2009
NPI 1003067349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
615 W 5TH N, Cheyenne Wells, CO 80810

Other Names 1

Doing Business AsPrairie View Clinic

Other Identifiers 1

Medicare OSCAR/certification063985CO

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 06D1060170

Prairie View Rural Health Clinic · Cheyenne Wells, CO
Active · expires Sep 28, 2026
CLIA Number06D1060170
Laboratory TypeRural Health Clinic
Certificate Effective DateSeptember 29, 2024
Certificate Expiration DateSeptember 28, 2026
Laboratory DirectorDr. Brian Z. Miles
Laboratory Phone(719) 767-5661
Laboratory LocationPrairie View Rural Health Clinic615 W 5th St North, Cheyenne Wells, CO 80810
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keefe Memorial Hospital's NPI number?

The NPI number for Keefe Memorial Hospital is 1003067349. It was assigned to this organization in the NPPES registry on October 6, 2008. The provider is doing business as Prairie View Clinic.

Where is Keefe Memorial Hospital located?

Keefe Memorial Hospital is located at 615 W 5th N, Cheyenne Wells, CO 80810. The listed phone number is (719) 767-5669.

What is Keefe Memorial Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Keefe Memorial Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D1060170) is associated with this NPI, valid through September 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Keefe Memorial Hospital was last updated on November 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.