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	207Q00000X	Family Medicine Physician
2	207P00000X	Emergency Medicine Physician

Other Identifiers

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

General Provider Information

NPI Number	:	1841352911
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CATHOLIC HEALTH INITIATIVES COLORADO

Provider Business Mailing Address
First Line	:	DEPT 1057
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80291-1057
Country	:	US
Telephone Number	:	303-486-5504
Fax Number	:	303-486-5502

Provider Business Practice Location Address
First Line	:	145 PARSENN RD
Second Line	:
City	:	WINTER PARK
State	:	CO
Zip	:	80482
Country	:	US
Telephone Number	:	970-726-8066
Fax Number	:	970-726-4941

Authorized Official
Title or Position	:	CEO PHYSICIAN ENTERPRISES
Name	:	JAMES ROBERT HARRIS SR.
Credential	:
Telephone Number	:	303-804-8119

Provider Enumeration Date	:	12/15/2006
Last Update Date	:	12/10/2009

Similar Medicare Providers

1063410603 — DR. JAMES GRAY KENNEDY M.D.
Practice Location Address:

78878 US HIGHWAY 40
WINTER PARK, CO
80482-1312

Practice Phone: 970-722-0300
Practice Fax: 970-722-1032

1427044783 — DR. JENNIFER PELAEZ O.D.
Practice Location Address:

78941 U.S. HWY 40
WINTER PARK, CO
80482-0990

Practice Phone: 970-726-5652
Practice Fax: 970-726-8854

1275522526 — RITA ALINE COONROD MD
Practice Location Address:

145 PARSENN RD
WINTER PARK, CO
80482-5133

Practice Phone: 970-726-4299
Practice Fax: 970-726-4322

1184727125 — HANNAH MARIE FOLEY FNP
Practice Location Address:

145 PARSENN RD
WINTER PARK, CO
80482

Practice Phone: 970-726-8066
Practice Fax: 970-726-4941

1053400192 — MISS GEORGIA LYNN NORGREN DPT
Practice Location Address:

554 BAKER DRIVE
WINTER PARK, CO
80482-0283

Practice Phone: 303-726-9805
Practice Fax:

1053497065 — MR. JEFFREY ALAN RUSSELL PT, MS,
Practice Location Address:

116 TRESTLE DRIVE
WINTER PARK, CO
80482-8048

Practice Phone: 970-531-1582
Practice Fax:

Directions to “CATHOLIC HEALTH INITIATIVES COLORADO ” Practice Location

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