=====================================================
General NPI Number Information
=====================================================
NPI Number | 1295607711
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CATHOLIC HEALTH INITIATIVES COLORADO
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/23/2025
-----------------------------------------------------
Last Update Date | 09/23/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2222 N NEVADA AVE
-----------------------------------------------------
City | COLORADO SPRINGS
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80907-6819
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 719-776-5646
-----------------------------------------------------
Fax | 719-776-8050
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2222 N NEVADA AVE
-----------------------------------------------------
City | COLORADO SPRINGS
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80907-6819
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 719-776-5646
-----------------------------------------------------
Fax | 719-776-8050
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | MRS. ANGELA JO SKINNER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 720-667-7283
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207QH0002X
-----------------------------------------------------
Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------