Organization
CATHOLIC HEALTH INITIATIVES COLORADO
Active
Other names
Four Corners Pulmonary and Critical Care, PLFC PULM CC AZTEC
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA SKINNER (ADMINISTRATOR OMA)
(303) 673-7175
Entity
Organization
Contact information
Practice address
604 S RIO GRANDE AVE, AZTEC, NM 87410-2260
(970) 764-2750
(970) 764-2623
Mailing address
PO BOX 800022, KANSAS CITY, MO 64180-0022
(800) 953-0104
(303) 765-6670
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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