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	2084N0400X	Neurology Physician

General Provider Information

NPI Number	:	1720936321
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CATHOLIC HEALTH INITIATIVES COLORADO

Provider Business Mailing Address
First Line	:	1492 W ANTELOPE DR STE 203
Second Line	:
City	:	LAYTON
State	:	UT
Zip	:	84041-1141
Country	:	US
Telephone Number	:	801-927-3080
Fax Number	:	801-927-3088

Provider Business Practice Location Address
First Line	:	1492 W ANTELOPE DR STE 203
Second Line	:
City	:	LAYTON
State	:	UT
Zip	:	84041-1141
Country	:	US
Telephone Number	:	801-927-3080
Fax Number	:	801-927-3088

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

Provider Enumeration Date	:	03/19/2026
Last Update Date	:	03/19/2026

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Directions to “CATHOLIC HEALTH INITIATIVES COLORADO ” Practice Location

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