Catholic Health Initiatives Colorado
Organization Active NPI Family Medicine Physician · Westminster, CO
NPI 1114538733 · NPPES record last updated Jun 24, 2024
Key facts
- NPI
- 1114538733
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- CATHOLIC HEALTH INITIATIVES COLORADO
- Practice address
- 2551 W 84TH Ave
Westminster, CO 80031-3807 - Phone
- (303) 430-5560
- Fax
- (303) 430-5565
- NPI assigned
- Aug 17, 2020
- Organization subpart
- No
Authorized official
- Name
- Angela Jo Skinner
- Title
- Administrator Oma
- Phone
- (720) 667-7283
Corporate family (same tax ID) 24
Practitioners 6
-
Brian W Chong, M.D.
-
Cynthia Japhet Millward, M.D.
-
Sipa Prabha Patel, D.O.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D0511071 | Commonspirit Primary Care 84TH Avenue | Provider-performed microscopy | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031215000462 | CO | Part B Supplier - Clinic/Group Practice | 8022927342 |
Receives reassigned benefits from 1,310 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
- Tax ID family
- St Thomas More Centura
Locations
360 Peak One Dr
Ste 390
Frisco, CO 80443
Phone (970) 668-4506
11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Internal Medicine Physician |
207R00000X |
Addresses
Primary practice location
2551 W 84TH Ave
Westminster, CO 80031-3807
Mailing address
PO Box 800022
Kansas City, MO 64180-0022
Phone (800) 953-0104
Other names
- SNHC FAMILY MED & RES
- CMG Primary Care 84th Avenue
Other providers in Westminster, CO
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado
All providers in Westminster, CO · Family Medicine Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.