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NPI Code Detail

MEDICARE: CATHOLIC HEALTH INITIATIVES COLORADO

MEDICARE: CATHOLIC HEALTH INITIATIVES COLORADO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1311ZA0620XAdult Care Home FacilityCO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518076462
Entity Type Code : Organization
Provider Name (Legal Business Name) : CATHOLIC HEALTH INITIATIVES COLORADO
Provider Business Mailing Address
First Line : 2425 S COLORADO BLVD
Second Line : SUITE 250
City : DENVER
State : CO
Zip : 80222-5946
Country : US
Telephone Number : 866-905-0165
Fax Number : 303-715-7010
Provider Business Practice Location Address
First Line : 1338 PHAY AVE
Second Line :
City : CANON CITY
State : CO
Zip : 81212-2302
Country : US
Telephone Number : 719-269-2122
Fax Number : 719-269-2256
Authorized Official
Title or Position : CFO, SENIOR SERVICES
Name : MRS. NANCY STOKES
Credential :
Telephone Number : 303-715-7013
Provider Enumeration Date : 08/30/2006
Last Update Date : 08/22/2020

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1770695835 — CATHOLIC HEALTH INITIATIVES COLORADO
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1164500245 — WILLIAM LEE ELZI MD
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1710052501 — CATHOLIC HEALTH INITIATIVES COLORADO
Practice Location Address:
1338 PHAY AVE
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81212-2302
Practice Phone: 719-285-2000
Practice Fax:

Directions to “CATHOLIC HEALTH INITIATIVES COLORADO ” Practice Location

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