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
1	207VM0101X	Maternal & Fetal Medicine Physician

General Provider Information

NPI Number	:	1730034109
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CATHOLIC HEALTH INITIATIVES COLORADO

Provider Business Mailing Address
First Line	:	3570 W 9000 S STE 100
Second Line	:
City	:	WEST JORDAN
State	:	UT
Zip	:	84088-8871
Country	:	US
Telephone Number	:	801-903-5620
Fax Number	:	385-351-6718

Provider Business Practice Location Address
First Line	:	3570 W 9000 S STE 100
Second Line	:
City	:	WEST JORDAN
State	:	UT
Zip	:	84088-8871
Country	:	US
Telephone Number	:	801-903-5620
Fax Number	:	385-351-6718

Authorized Official
Title or Position	:	ADMINISTRATOR, OMA
Name	:	MRS. ANGELA JO SKINNER
Credential	:
Telephone Number	:	720-667-7283

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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