Catholic Health Initiatives Colorado

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

Legal business name

CATHOLIC HEALTH INITIATIVES COLORADO

Doing business as

Rocky Mountain Sports and Family Medicine at Centura

Practice address

1315 Fortino Blvd
Pueblo, CO 81008-1981

Phone

(719) 557-8600

Fax

(719) 557-8615

NPI assigned

Oct 31, 2011

Organization subpart

No

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

Authorized official

Name

Angela Skinner

Title

Oma Administrator

Phone

(303) 673-7175

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rocky Mountain Sports and Family Medicine at Centura Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 1

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

• Jai Pitre, LCSW

  • Clinical Social Worker
  • Silverthorne, CO
  • NPI 1508406851
  NPD

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461283200000",
    "number": "1205112596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911057",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802911057",
            "telephone_number": "303-643-1099",
            "fax_number": "303-643-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 FORTINO BLVD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081981",
            "telephone_number": "719-557-8600",
            "fax_number": "719-557-8615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC HEALTH INITIATIVES COLORADO",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-31",
        "last_updated": "2016-04-22",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OMA ADMINISTRATOR",
        "authorized_official_telephone_number": "303-673-7175"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31436579",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rocky Mountain Sports and Family Medicine at Centura",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Catholic Charities of the Diocese of Pueblo
• Catholic Health Iniatives 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

• Sports Medicine (Family Medicine) Physician in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Sports Medicine (Family Medicine) Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.