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	208600000X	Surgery Physician

General Provider Information

NPI Number	:	1316603962
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	:	2030 MOUNTAIN VIEW AVE STE 200
Second Line	:
City	:	LONGMONT
State	:	CO
Zip	:	80501-3180
Country	:	US
Telephone Number	:	720-652-8444
Fax Number	:	720-652-8445

Authorized Official
Title or Position	:	ADMINISTRATOR, OMA
Name	:	MRS. ANGELA JO SKINNER
Credential	:
Telephone Number	:	720-667-7283

Provider Enumeration Date	:	11/09/2021
Last Update Date	:	06/25/2024

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Directions to “CATHOLIC HEALTH INITIATIVES COLORADO ” Practice Location

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