Organization
CATHOLIC HEALTH INITIATIVES COLORADO
Active
Other names
CMG Primary Care Southwest. Longmont, PRLS PC SW LONGMONT
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA JO SKINNER (ADMINISTRATOR OMA)
(720) 667-7283
Entity
Organization
Contact information
Practice address
2101 KEN PRATT BLVD STE 200, LONGMONT, CO 80501-6568
(303) 649-6350
(303) 649-3501
Mailing address
PO BOX 800022, KANSAS CITY, MO 64180-0022
(800) 953-0104
(303) 765-6670
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
04/04/2016
Last updated
06/24/2024
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