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NPI 1285102491

NPI 1285102491 : CATHOLIC HEALTH INITIATIVES COLORADO : BRECKENRIDGE, CO

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General NPI Number Information
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    NPI Number           |    1285102491
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    Entity Type          |    Organization 
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    Legal Business Name  |    CATHOLIC HEALTH INITIATIVES COLORADO 
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Dates
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    Enumeration Date     |    11/06/2018
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    Last Update Date     |    04/23/2025
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Provider Practice Location Address
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    Address Line         |    555 S PARK AVE PLAZA II 
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    City                 |    BRECKENRIDGE
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    State                |    CO
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    Zip                  |    80424-0000
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    Country              |    US
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    Telephone            |    970-453-1010
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    Fax                  |    970-453-5407
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Provider Business Mailing Address
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    Address Line         |    PO BOX 800022 
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    City                 |    KANSAS CITY
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    State                |    MO
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    Zip                  |    64180-0022
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    Country              |    US
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    Telephone            |    800-953-0104
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    Fax                  |    303-765-6670
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Authorized Official
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    Title or Position    |    VICE PRESIDENT AMBULATORY
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    Name                 |    MRS. DEB  CARPENTER 
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    Credential           |    RN
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    Telephone            |    303-518-1789
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QU0200X
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    Taxonomy Name        |    Urgent Care Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    261QE0002X
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    Taxonomy Name        |    Emergency Care Clinic/Center
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    License Number       |    
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    License Number State |    
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