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NPI Code Detail

MEDICARE: CATHOLIC HEALTH INITIATIVES COLORADO

MEDICARE: CATHOLIC HEALTH INITIATIVES COLORADO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician

General Provider Information

NPI Number : 1134738701
Entity Type Code : Organization
Provider Name (Legal Business Name) : CATHOLIC HEALTH INITIATIVES COLORADO
Provider Business Mailing Address
First Line : PO BOX 800022
Second Line :
City : KANSAS CITY
State : MO
Zip : 64180-0022
Country : US
Telephone Number : 800-953-0104
Fax Number : 303-765-6670
Provider Business Practice Location Address
First Line : 41 STATE HIGHWAY 67
Second Line :
City : WOODLAND PARK
State : CO
Zip : 80863-5008
Country : US
Telephone Number : 719-776-8500
Fax Number : 719-776-4593
Authorized Official
Title or Position : ADMINISTRATOR, OMA
Name : MRS. ANGELA J SKINNER
Credential :
Telephone Number : 303-673-7175
Provider Enumeration Date : 07/29/2020
Last Update Date : 09/14/2020

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Directions to “CATHOLIC HEALTH INITIATIVES COLORADO ” Practice Location

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