Healthcare Provider Details

I. General information

NPI: 1548101637
Provider Name (Legal Business Name): CATHOLIC HEALTH INITIATIVES COLORADO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1492 W ANTELOPE DR STE 203
LAYTON UT
84041-1141
US

IV. Provider business mailing address

1492 W ANTELOPE DR STE 203
LAYTON UT
84041-1141
US

V. Phone/Fax

Practice location:
  • Phone: 801-927-3080
  • Fax: 801-927-3088
Mailing address:
  • Phone: 801-927-3080
  • Fax: 801-927-3088

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: ANGELA JO SKINNER
Title or Position: ADMINISTRATOR, OMA
Credential:
Phone: 720-667-7283