MEDICARE: CATHOLIC CHARITIES OF CENTRAL COLORADO INC

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	101Y00000X	Counselor

General Provider Information

NPI Number	:	1912784067
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CATHOLIC CHARITIES OF CENTRAL COLORADO INC

Provider Business Mailing Address
First Line	:	228 N CASCADE AVE
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80903-1385
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	410 S WILCOX ST STE 102
Second Line	:
City	:	CASTLE ROCK
State	:	CO
Zip	:	80104-2663
Country	:	US
Telephone Number	:	719-800-1833
Fax Number	:

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	LORRI ORWIG
Credential	:
Telephone Number	:	719-866-6490

Provider Enumeration Date	:	09/12/2023
Last Update Date	:	06/10/2024

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