Organization
EASTERN PLAINS MEDICAL CLINIC OF CALHAN
Active
Other names
Eastern Plains Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RENAE LOUISE CRAWFORD FNP (OWNER)
(719) 347-0100
Entity
Organization
Contact information
Practice address
560 CRYSTOLA ST, CALHAN, CO 80808-8699
(719) 347-0100
(719) 347-0851
Mailing address
PO BOX 275, CALHAN, CO 80808-0275
(719) 347-0100
(719) 347-0851
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03833232
—
CO
Enumeration date
04/18/2006
Last updated
10/06/2021
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