# CATHOLIC HEALTH INITIATIVES COLORADO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CCVM PC CRIPPLE CREEK, CHPG Cripple Creek-Victor Mountain Health Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821600313
- **Authorized official:** MRS. ANGELA J SKINNER (ADMINISTRATOR, OMA)
- **Authorized official phone:** (303) 673-7175

## Contact information

- **Practice address:** 412 N C ST, CRIPPLE CREEK, CO 80813-5052
- **Practice address phone:** (719) 776-4310
- **Practice address fax:** (719) 776-4320
- **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 |

## Other

- **Enumeration date:** 08/18/2020
- **Last updated:** 09/16/2020