Healthcare Provider Details

I. General information

NPI: 1851697353
Provider Name (Legal Business Name): CATHOLIC HEALTH INITIATIVES COLORADO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2011
Last Update Date: 03/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6001 E WOODMEN RD
COLORADO SPRINGS CO
80923-2601
US

IV. Provider business mailing address

DEPARTMENT 1057
DENVER CO
80291-1057
US

V. Phone/Fax

Practice location:
  • Phone: 719-571-3276
  • Fax:
Mailing address:
  • Phone: 303-486-5405
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WN0002X
TaxonomyNeonatal Intensive Care Registered Nurse
License Number
License Number StateCO

VIII. Authorized Official

Name: RANDY BUCHNOWSKI
Title or Position: VP OPERATIONS
Credential:
Phone: 303-804-8111