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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
1207QS0010XSports Medicine (Family Medicine) Physician

General Provider Information

NPI Number : 1356980940
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 : 4925 N NEVADA AVE
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-8600
Country : US
Telephone Number : 719-776-4925
Fax Number : 719-776-4926
Authorized Official
Title or Position : ADMINISTRATOR, OMA
Name : MRS. ANGELA JO SKINNER
Credential :
Telephone Number : 720-667-7283
Provider Enumeration Date : 12/30/2019
Last Update Date : 07/03/2024

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1043658974 — ALEXANDER R WESSEL MD
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1962974535 — MEGAN TRENDOWSKI
Practice Location Address:
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1386283836 — CATHOLIC HEALTH INIATIVES COLORADO
Practice Location Address:
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1528690195 — CENTURA VENTURES, LLC
Practice Location Address:
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Directions to “CATHOLIC HEALTH INITIATIVES COLORADO ” Practice Location

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