Catholic Health Initiatives Colorado
Organization Active NPI Obstetrics & Gynecology Physician · Granby, CO
NPI 1164033056 · NPPES record last updated Nov 6, 2024
Key facts
- NPI
- 1164033056
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- Legal business name
- CATHOLIC HEALTH INITIATIVES COLORADO
- Practice address
- 1000 Granby Park Dr.
Granby, CO 80446 - Phone
- (970) 668-5771
- Fax
- (970) 262-2196
- NPI assigned
- Aug 13, 2020
- Organization subpart
- No
Authorized official
- Name
- Mrs. Angela J Skinner
- Title
- Administartor, Oma
- Phone
- (303) 673-7175
Corporate family (same tax ID) 24
Practitioners 6
-
Jennifer P Clark, PA-C
-
Amanda Worsham Dunaway, AGACNP
-
Robert C Wrona, M.D.
-
Roderick Jude Romero, M.D.
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician |
207V00000X | Yes | ||
| Gynecology Physician |
207VG0400X |
Addresses
Primary practice location
1000 Granby Park Dr.
Granby, CO 80446
Mailing address
PO Box 800022
Kansas City, MO 64180-0022
Phone (800) 953-0104
Other names
- WHFS WH GRANBY
- Centura Health Physician Group High Country Healthcare
Other providers in Granby, CO
- Lisa Marie Ansell
- Aspen Wind Counseling, LLC
- Ellen C Auchincloss
- Tyler Scott Bowen
- Andrew W Burns
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado
- Karen K. Charland
- Colorado West Regional Mental Health, Inc.
- Colorado West Regional Mental Health, Inc.
All providers in Granby, CO · Obstetrics & Gynecology 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 Nov 6, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.