Organization
CATHOLIC HEALTH INITIATIVES COLORADO
Active
Other names
St Thomas More Physician Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA SKINNER (OMA ADMINISTRATOR)
(303) 673-7175
Entity
Organization
Contact information
Practice address
614 YALE PL, CANON CITY, CO 81212-4611
(719) 285-2700
(719) 285-2975
Mailing address
PO BOX 911057, DENVER, CO 80291-1057
(303) 643-1099
(303) 643-1176
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
CO
208600000X
Surgery Physician
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
25020251
—
CO
05
—
30435536
—
CO
Enumeration date
07/31/2007
Last updated
04/25/2016
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