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KIT CARSON CLINIC
NPI 1265692339
Clinic/Center - Rural Health in Kit Carson, CO

Active since June 12, 2008CLIA 06D2281070 · Waiver
102 E 2ND AVE, KIT CARSON, CO 80825(719) 962-3501 Get Directions Write a Review

NPPES record last updated: November 9, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kit Carson Clinic NPPES

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

KIT CARSON CLINIC (NPI 1265692339) is a healthcare organization registered as a rural health in Kit Carson, Colorado and active in the NPI registry since June 2008. The organization holds a CLIA Waiver certificate valid through April 30, 2027 and lists Charlene Korrell, Ceo, as its authorized official.

NPPES Registry Identity

NPI1265692339
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameKEEFE MEMORIAL HOSPITAL
Location Address102 E 2ND AVEKit Carson, CO 80825
Mailing AddressPo Box 578Cheyenne Wells, CO 80810-0578 · (719) 767-5661
Phone(719) 962-3501
Organization SubpartNo
Authorized OfficialCharlene KorrellCeo · (719) 767-5662
Enumeration DateJune 12, 2008
Last NPPES UpdateNovember 9, 2009
✔ NPI 1265692339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
102 E 2ND AVE, Kit Carson, CO 80825
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Other Names 1

Doing Business AsKit Carson Clinic

Other Identifiers 1

Medicare OSCAR/certification063999CO

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 06D2281070

Kit Carson Clinic · Kit Carson, CO
Active · expires Apr 30, 2027
CLIA Number06D2281070
Laboratory TypeRural Health Clinic
Certificate Effective DateMay 1, 2025
Certificate Expiration DateApril 30, 2027
Laboratory DirectorBrian L. Miles
Laboratory Phone(719) 962-3501
Laboratory LocationKit Carson Clinic102 East 2nd Avenue, Kit Carson, CO 80825
CLIA data matches this NPI record on: Address Name 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 1265692339. It was assigned to this organization in the NPPES registry on June 12, 2008. The provider is doing business as Kit Carson Clinic.

Where is Keefe Memorial Hospital located?

Keefe Memorial Hospital is located at 102 E 2nd Ave, Kit Carson, CO 80825. The listed phone number is (719) 962-3501.

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 06D2281070) is associated with this NPI, valid through April 30, 2027. 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 9, 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.