Active NPI
Catholic Health Initiatives Colorado
- Pulmonary Disease Physician
- Evanston, WY
National Provider Identifier
1104511435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- CATHOLIC HEALTH INITIATIVES COLORADO
- Practice address
- 196 Arrowhead Dr Ste 5
Evanston, WY 82930-8752 - Phone
- (307) 783-8364
- Fax
- (307) 783-8284
- NPI assigned
- Apr 11, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Angela J Skinner
- Title
- Administrator, Oma
- Phone
- (303) 673-7175
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | |||
| Pulmonary Disease Physician | 207RP1001X | Primary |
Addresses
Primary practice location
196 Arrowhead Dr Ste 5
Evanston, WY 82930-8752
Mailing address
PO Box 800022
Kansas City, MO 64180-0022
Phone (800) 953-0104
Other names 1
- Heart & Lung Evanston
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681171200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681171200000",
"number": "1104511435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 800022",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641800022",
"telephone_number": "800-953-0104",
"fax_number": "303-765-6670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "196 ARROWHEAD DR STE 5",
"city": "EVANSTON",
"state": "WY",
"postal_code": "829308752",
"telephone_number": "307-783-8364",
"fax_number": "307-783-8284"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CATHOLIC HEALTH INITIATIVES COLORADO",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-11",
"last_updated": "2023-04-11",
"certification_date": "2023-04-11",
"status": "A",
"authorized_official_last_name": "SKINNER",
"authorized_official_first_name": "ANGELA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "ADMINISTRATOR, OMA",
"authorized_official_telephone_number": "303-673-7175",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Heart & Lung Evanston",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Evanston, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.