NPIMap

Catholic Health Initiatives Colorado

Organization Active NPI Obstetrics & Gynecology Physician · Canon City, CO

NPI 1124634902 · NPPES record last updated Jun 24, 2024

Key facts

NPI
1124634902
Entity type
Organization (NPI type 2)
Primary specialty
Obstetrics & Gynecology Physician 207V00000X
Legal business name
CATHOLIC HEALTH INITIATIVES COLORADO
Practice address
1338 Phay Ave BLDG D
Canon City, CO 81212-2326
Phone
(719) 285-2735
Fax
(719) 285-2915
NPI assigned
Sep 17, 2020
Organization subpart
No

Authorized official

Name
Mrs. Angela Jo Skinner
Title
Administrator, Oma
Phone
(720) 667-7283

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CO

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
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 (319 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207V00000X Yes

Addresses

Primary practice location

1338 Phay Ave BLDG D
Canon City, CO 81212-2326

Mailing address

PO Box 800022
Kansas City, MO 64180-0022
Phone (800) 953-0104

Other names

  • WHST WH STM Doing business as
  • CMG Obstetrics & Gynecology St. Thomas More Pueblo West Other name

Other providers in Canon City, CO

All providers in Canon City, CO · Obstetrics & Gynecology Physician in Colorado

Sources for this page

Verify at the official NPI Registry.