NPIMap

Organization Active NPI

Catholic Health Initiatives Colorado

  • General Acute Care Hospital
  • Lakewood, CO
National Provider Identifier
1104466630
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
CATHOLIC HEALTH INITIATIVES COLORADO
Practice address
255 S Routt St Ste 100
Lakewood, CO 80228-2271
Phone
(303) 715-7000
NPI assigned
Jan 13, 2020
Last updated
Jan 13, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
CATHOLIC HEALTH INITIATIVES COLORADOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Matthew P Leary
Title
Group VP Finance
Phone
(303) 643-1022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

255 S Routt St Ste 100
Lakewood, CO 80228-2271

Mailing address

PO Box 910317
Denver, CO 80291-0317
Phone (303) 715-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040402000874 CO Part A Provider - Hospital 8022927342 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lakewood, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104466630. Details of each certification follow.

Hospital certification: CCN 060015

Legal name
CATHOLIC HEALTH INITIATIVES COLORADO
Doing business as
ST. ANTHONY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jun 27, 2025
Beds
237
Ownership / control type
Church
Organization structure
CorporationNon-profit
Incorporated
Jan 5, 1968 in CO
Enrollment address
11600 W 2ND PL
Lakewood, CO 80228-1527
Main/Primary Hospital Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Centura Health-St Anthony HospitalCCN 060015 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Church
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Part of
Catholic Health Initiatives

Ownership & related parties

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Rogelio Segura Individual Corporate DirectorBoard of Community Advisors Member Sep 30, 2025
Commonspirit Health Organization, Chicago, IL Corporation, Non-profit 5% Or Greater Direct Ownership Interest Apr 1, 2008 100%
Commonspirit Mountain Region Organization, Centennial, CO Corporation, Non-profit Operational/Managerial Control Apr 1, 2008 100%
Michelle Soriano Individual Corporate DirectorBoard of Community Advisors Member Sep 30, 2025
Ryan Holocher Individual Corporate DirectorBoard of Community Advisors Member Sep 30, 2025
Patricia Hayden Individual Corporate DirectorBoard of Community Advisors Member Sep 30, 2025
Ryan Patrick Tobin Individual Corporate DirectorBoard of Community Advisors Member Sep 30, 2025
Dana Talarico Individual Corporate DirectorBoard of Community Advisors Member Sep 30, 2025
Mitch Melfi Individual Corporate DirectorBoard Member Jul 30, 2025
Tadd Richert Individual Corporate OfficerTreasurer Jul 1, 2022
David Perez Individual Corporate DirectorBoard of Community Advisors Member Sep 30, 2025
Irene Lofland Individual Corporate DirectorBoard of Community Advisors Member Sep 30, 2025
Sheri Shapiro Individual Corporate DirectorBoard Member Jul 30, 2025
Katherine Brooks Individual Corporate OfficerSecretary Jul 30, 2025
Kevin Cullinan Individual W-2 Managing EmployeeCeo Jul 9, 2023
JW Stamison Individual Corporate DirectorBoard of Community Advisors Member Sep 30, 2025
Andrew Gaasch Individual Corporate OfficerMountain Region President, CSH Mar 7, 2021
Corporate DirectorBoard Member Jul 30, 2025
Lisandra Gonzales Individual Corporate DirectorBoard of Community Advisors Member Sep 30, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 700

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 700

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578873600000",
    "number": "1104466630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910317",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802910317",
            "telephone_number": "303-715-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 S ROUTT ST STE 100",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802282271",
            "telephone_number": "303-715-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC HEALTH INITIATIVES COLORADO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CATHOLIC HEALTH INITIATIVES COLORADO",
        "enumeration_date": "2020-01-13",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A",
        "authorized_official_last_name": "LEARY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "GROUP VP FINANCE",
        "authorized_official_telephone_number": "303-643-1022"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.