Organization
CATHOLIC HEALTH INITIATIVES COLORADO
Active
Other names
PENROSE OP CLINIC at CRIPPLE CREEK
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA SKINNER (OMA ADMINISTRATOR)
(303) 673-7175
Entity
Organization
Contact information
Practice address
1101 TELLER COUNTY RD 1, CRIPPLE CREEK, CO 80813-9613
(719) 776-4300
(719) 689-6303
Mailing address
PO BOX 911057, DENVER, CO 80291-1057
(303) 643-1099
(303) 643-1176
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
Primary
C509238
CO
Other
Enumeration date
09/14/2011
Last updated
05/17/2016
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