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
1	2084P0301X	Brain Injury Medicine (Psychiatry & Neurology) Physician
2	207XS0117X	Orthopaedic Surgery of the Spine Physician

General Provider Information

NPI Number	:	1295438166
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	:	82 S 1100 E STE 103
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84102-1889
Country	:	US
Telephone Number	:	385-234-4787
Fax Number	:	801-984-6657

Authorized Official
Title or Position	:	DIRECTOR, OFFICE OF MEDICAL AFFAIRS
Name	:	ANGELA JO SKINNER
Credential	:
Telephone Number	:	720-667-7283

Provider Enumeration Date	:	03/22/2023
Last Update Date	:	02/14/2025

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Directions to “CATHOLIC HEALTH INITIATIVES COLORADO ” Practice Location

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