# EASTERN PLAINS MEDICAL CLINIC OF CALHAN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Eastern Plains Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952366593
- **Authorized official:** MRS. RENAE LOUISE CRAWFORD FNP (OWNER)
- **Authorized official phone:** (719) 347-0100

## Contact information

- **Practice address:** 560 CRYSTOLA ST, CALHAN, CO 80808-8699
- **Practice address phone:** (719) 347-0100
- **Practice address fax:** (719) 347-0851
- **Mailing address:** PO BOX 275, CALHAN, CO 80808-0275
- **Mailing address phone:** (719) 347-0100
- **Mailing address fax:** (719) 347-0851

## Taxonomy

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

## Other

- **Enumeration date:** 04/18/2006
- **Last updated:** 10/06/2021