HOLLY MEDICAL CLINIC (STANTON COUNTY HOSPITAL) NPI 1811333768

Nurse Practitioner (Family) in Holly, CO

NPI 1811333768 Organization Nurse Practitioner Family

About HOLLY MEDICAL CLINIC (STANTON COUNTY HOSPITAL)

Holly Medical Clinic (stanton County Hospital) is a provider established in Holly, Colorado specializing in nurse practitioner (family) . The NPI number of Holly Medical Clinic (stanton County Hospital) is 1811333768 and was assigned on May 2013. The practitioner's primary taxonomy code is 363LF0000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. Holly Medical Clinic (stanton County Hospital) operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Holly Medical Clinic. The authorized official of this NPI record is Peggy Carrithers (Manager)

A nurse practitioner (NP) like Holly Medical Clinic is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

NPI

1811333768

Provider NameHOLLY MEDICAL CLINIC (STANTON COUNTY HOSPITAL)
Provider Location Address410 W COLORADO HOLLY, CO 81047
Provider Mailing Address404 N CHESTNUT ST PO BOX 639 JOHNSON, KS 67855
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Other Organization NameHOLLY MEDICAL CLINIC
Other Name TypeDoing Business As (3)
Enumeration Date05-20-2013
Last Update Date03-03-2014


Primary Taxonomy

Taxonomy Code363LF0000X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationFamily

Business Address

HOLLY MEDICAL CLINIC
410 W COLORADO
HOLLY, CO
ZIP 81047
Phone: (719) 537-6642
Fax: (719) 537-6052

Get Directions


Mailing Address

HOLLY MEDICAL CLINIC
404 N CHESTNUT ST
PO BOX 639
JOHNSON, KS
ZIP 67855
Phone: (620) 492-1400
Fax: (620) 492-1608



Authorized Official

Authorized Official Name PEGGY CARRITHERS
Authorized Official TitleMANAGER
Authorized Official Phone(620) 492-1400

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.