# CATHOLIC HEALTH INITIATIVES COLORADO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Centura Health Physician Group Cripple Creek-Victor Mountain Health Cl
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598119794
- **Authorized official:** ANGELA SKINNER (ADMINISTRATOR / OMA)
- **Authorized official phone:** (303) 673-7175

## Contact information

- **Practice address:** 412 NORTH C STREET, CRIPPLE CREEK, CO 80813
- **Practice address phone:** (719) 286-1100
- **Practice address fax:** (719) 286-1101
- **Mailing address:** PO BOX 911057, DENVER, CO 80291-1057
- **Mailing address phone:** (303) 643-1099
- **Mailing address fax:** (303) 643-1176

## Taxonomy

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

## Other

- **Enumeration date:** 04/14/2016
- **Last updated:** 04/14/2016