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MISSION MEDICAL CLINIC
NPI 1730126558
Clinic/Center - Community Health in Colorado Springs, CO

Active since June 01, 2006CLIA 06D1014688 · Waiver
2125 E LA SALLE ST, COLORADO SPRINGS, CO 80909(719) 219-3402(719) 473-3061 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mission Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISSION MEDICAL CLINIC (NPI 1730126558) is a healthcare organization registered as a community health in Colorado Springs, Colorado and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through March 3, 2028 and lists Marcella J Ruch, Ceo, as its authorized official.

NPPES Registry Identity

NPI1730126558
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameCHRISTIAN HEALING NETWORK
Location Address2125 E LA SALLE STColorado Springs, CO 80909-2274
Mailing Address2125 E La Salle StColorado Springs, CO 80909-2274 · (719) 219-3402 · Fax (719) 473-3061
Phone(719) 219-3402
Fax(719) 473-3061
Organization SubpartNo
Authorized OfficialMarcella J RuchCeo · (719) 227-0434
Enumeration DateJune 1, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1730126558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
License✔ Licensed in CO · 0567
2125 E LA SALLE ST, Colorado Springs, CO 80909
Open in Google Maps ↗

Other Names 1

Doing Business AsMission Medical Clinic

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 06D1014688

Mission Medical Clinic · Colorado Springs, CO
Active · expires Mar 3, 2028
CLIA Number06D1014688
Laboratory TypeCommunity Clinic
Certificate Effective DateMarch 4, 2026
Certificate Expiration DateMarch 3, 2028
Laboratory DirectorEllery R. Fortarel
Laboratory Phone(719) 219-3402
Laboratory LocationMission Medical Clinic2125 E La Salle Street, Colorado Springs, CO 80909
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

W A MUNSON MD LLC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2125 E LA SALLE ST, SUITE M13
COLORADO SPRINGS, CO 80909
El Paso County (719) 473-3636
MS. MARY VANOYEN FORCE MS, ANP-BC, BSN
Clinic/Center
2125 E LA SALLE ST
COLORADO SPRINGS, CO 80909
El Paso County (719) 219-3402
MEDICAID DENTAL HOME
Dentist (Dental Public Health)
2125 E LA SALLE ST
COLORADO SPRINGS, CO 80909
El Paso County (719) 310-3315
REBECCA ELIZABETH ABBOTT PT, DPT, PHD
Physical Therapist
2125 E LA SALLE ST
COLORADO SPRINGS, CO 80909
El Paso County (612) 234-2580

Frequently Asked Questions

What is CHRISTIAN HEALING NETWORK's NPI number?

The NPI number assigned to this healthcare provider is 1730126558, enumerated as an "organization" on June 01, 2006.

Where is the provider located?

The provider is located at 2125 E LA SALLE ST COLORADO SPRINGS, CO 80909 and the phone number is (719) 219-3402.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QC1500X and a focus in Community Health.