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	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1932718764
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	:	3245 E US HIGHWAY 50 UNIT E
Second Line	:
City	:	CANON CITY
State	:	CO
Zip	:	81212-9343
Country	:	US
Telephone Number	:	719-285-2888
Fax Number	:	719-285-2889

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

Provider Enumeration Date	:	07/28/2020
Last Update Date	:	07/17/2024

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Directions to “CATHOLIC HEALTH INITIATIVES COLORADO ” Practice Location

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