Organization
CATHOLIC HEALTH INIATIVES COLORADO
Active
Other names
St Thomas More Rural Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
RICK KAMERZELL (ADMIN DIR OPERATIONS)
(719) 285-2606
Entity
Organization
Contact information
Practice address
1338 PHAY AVE BLDG D, CANON CITY, CO 81212
(719) 285-2700
(719) 285-2455
Mailing address
1338 PHAY AVE BLDG D, CANON CITY, CO 81212-2326
(719) 285-2700
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30435536
—
CO
Enumeration date
08/04/2009
Last updated
05/17/2018
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