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KEENE CLINIC
NPI 1205016136
Clinic/Center - Primary Care in Keenesburg, CO

Active since November 08, 2007
190 S MAIN STREET, KEENESBURG, CO 80643(303) 732-4268(303) 732-9288 Get Directions Write a Review

NPPES record last updated: February 15, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Keene Clinic NPPES

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

KEENE CLINIC (NPI 1205016136) is a healthcare organization registered as a primary care in Keenesburg, Colorado and active in the NPI registry since November 2007. The organization lists Benjamin Martinez-andujo, Ceo, as its authorized official.

NPPES Registry Identity

NPI1205016136
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameKEENE CLINIC
Location Address190 S MAIN STREETKeenesburg, CO 80643-0559
Mailing Address190 S Main Street, Po Box 559Keenesburg, CO 80643-0559 · (303) 732-4268 · Fax (303) 732-9288
Phone(303) 732-4268
Fax(303) 732-9288
Organization SubpartNo
Authorized OfficialBenjamin Martinez-andujoCeo · (303) 732-4268
Enumeration DateNovember 8, 2007
Last NPPES UpdateFebruary 15, 2011
✔ NPI 1205016136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
190 S MAIN STREET, Keenesburg, CO 80643
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Other Identifiers 1

Medicare PINC414808CO

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 for Provider-Performed Microscopy Procedures (PPMP) 06D0949991

Keene Clinic · Keenesburg, CO
Expired · Aug 16, 2026
CLIA Number06D0949991
Laboratory TypePhysician Office
Certificate Effective DateAugust 17, 2024
Certificate Expiration DateAugust 16, 2026
Laboratory DirectorHector J. Brignoni Jr MD
Laboratory Phone(303) 732-4268
Laboratory LocationKeene Clinic190 S Main Street PO Box 559, Keenesburg, CO 80643
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Keene Clinic's NPI number?

The NPI number for Keene Clinic is 1205016136. It was assigned to this organization in the NPPES registry on November 8, 2007.

Where is Keene Clinic located?

Keene Clinic is located at 190 S Main Street, Keenesburg, CO 80643. The listed phone number is (303) 732-4268.

What is Keene Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Keene Clinic was last updated on February 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.