Active NPI
Christian Healing Network
- Community Health Clinic/Center
- Colorado Springs, CO
National Provider Identifier
1730126558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Clinic/Center
- License
- 0567
- Legal business name
- CHRISTIAN HEALING NETWORK
- Practice address
- 2125 E la Salle St
Colorado Springs, CO 80909-2274 - Phone
- (719) 219-3402
- Fax
- (719) 473-3061
- NPI assigned
- Jun 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marcella J Ruch, PHD
- Title
- Ceo
- Phone
- (719) 227-0434
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | 0567 | CO | Primary |
Addresses
Primary practice location
2125 E la Salle St
Colorado Springs, CO 80909-2274
Mailing address
2125 E la Salle St
Colorado Springs, CO 80909-2274
Phone (719) 219-3402
Other names 1
- Mission Medical Clinic
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D1014688 | Mission Medical Clinic | Certificate of waiver | Mar 3, 2028 |
National Provider Directory
National Provider DirectoryLocations
2125 E La Salle St
Colorado Springs, CO 80909
Phone (719) 219-3402
Interoperability endpoints
- https://api.platform.athenahealth.com/17631/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinic/Center
- Colorado Springs, CO
- NPI 1609038330
-
- Physician Assistant
- Colorado Springs, CO
- NPI 1144533522
-
- Family Nurse Practitioner
- Colorado Springs, CO
- NPI 1235595984
-
- Physical Therapist
- Colorado Springs, CO
- NPI 1083547244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1730126558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2125 E LA SALLE ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809092274",
"telephone_number": "719-219-3402",
"fax_number": "719-473-3061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2125 E LA SALLE ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809092274",
"telephone_number": "719-219-3402",
"fax_number": "719-473-3061"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRISTIAN HEALING NETWORK",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "RUCH",
"authorized_official_first_name": "MARCELLA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "719-227-0434",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": "CO",
"license": "0567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mission Medical Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.