# CHRIST CLINIC INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265964704
- **Authorized official:** DR. RICHARD EDWARD SIMMONS MD (PRESIDENT)
- **Authorized official phone:** (970) 214-7419

## Contact information

- **Practice address:** 3920 S SHIELDS ST, FORT COLLINS, CO 80526-3015
- **Practice address phone:** (970) 481-2390
- **Practice address fax:** (888) 801-1712
- **Mailing address:** 3920 S SHIELDS ST, FORT COLLINS, CO 80526-3015
- **Mailing address phone:** (970) 481-2390
- **Mailing address fax:** (888) 801-1712

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/03/2017
- **Last updated:** 04/03/2017