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Organization

CATHOLIC HEALTH INITIATIVES COLORADO

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

Provider details

NPI number
Authorized official
MRS. ANGELA J SKINNER (ADMINISTRATOR, OMA)
(303) 673-7175
Entity
Organization

Contact information

Practice address
412 N C ST, CRIPPLE CREEK, CO 80813-5052
(719) 776-4310
(719) 776-4320
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

Other

Enumeration date
08/18/2020
Last updated
09/16/2020
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