# CITY OF COLO. SPGS OCCUPATIONAL HEALTH CLINIC

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

## Provider details

- **NPI number:** 1477763712
- **Authorized official:** MRS. BERNADETTE ANN RILEY R.N. (OCCUPATIONAL HEALTH SUPERVISOR)
- **Authorized official phone:** (719) 385-5673

## Contact information

- **Practice address:** 30 S NEVADA AVE, SUITE 605, COLORADO SPRINGS, CO 80903-1802
- **Practice address phone:** (719) 385-5965
- **Practice address fax:** (719) 385-5678
- **Mailing address:** PO BOX 1575, MC 625, COLORADO SPRINGS, CO 80901-1575
- **Mailing address phone:** (719) 385-5965
- **Mailing address fax:** (719) 385-5678

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/23/2007
- **Last updated:** 10/23/2014