Healthcare Provider Details

I. General information

NPI: 1215233713
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: 01/31/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2551 W 84TH AVE
WESTMINSTER CO
80031-3807
US

IV. Provider business mailing address

DEPARTMENT 1057
DENVER CO
80291-1057
US

V. Phone/Fax

Practice location:
  • Phone: 303-426-2151
  • 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: MR. RANDY BUCHNOWSKI
Title or Position: VP OPERATIONS
Credential:
Phone: 303-804-8111