# CATHOLIC HEALTH INITIATIVES COLORADO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Penrose OP Clinic at Cripple Creek, CHPG PC SS, CCPC PC TELLER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437765195
- **Authorized official:** MRS. ANGELA J SKINNER (ADMINISTRATOR, OMA)
- **Authorized official phone:** (303) 673-7175

## Contact information

- **Practice address:** 1101 TELLER COUNTY RD 1, CRIPPLE CREEK, CO 80813
- **Practice address phone:** (719) 776-4300
- **Practice address fax:** (719) 689-6303
- **Mailing address:** PO BOX 800022, KANSAS CITY, MO 64180-0022
- **Mailing address phone:** (800) 953-0104
- **Mailing address fax:** (303) 765-6670

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 09/18/2020
- **Last updated:** 07/27/2022