| NPI | 1770529950 |
|---|---|
| Other Name | COLORADO CLINIC |
| Entity Type | Organization |
| Authorized Contact | DONALD E MOORE Chief Executive Officer 719-543-8718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CO 0849) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2013-08-28 |