NPIMap

Organization Active NPI

Catholic Health Initiatives Colorado

Doing business as Southwest Spine Services

  • Diagnostic Radiology Physician
  • Montrose, CO
National Provider Identifier
1255813671
Registry record updated Sep 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
CATHOLIC HEALTH INITIATIVES COLORADO
Doing business as
Southwest Spine Services
Practice address
314 South 6TH Street
Montrose, CO 81401-5719
Phone
(970) 764-9265
Fax
(970) 764-9279
NPI assigned
Sep 1, 2018
Last updated
Sep 1, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2018

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

Authorized official

Name
Glenn Peshek
Title
Associate Administrator Oma
Phone
(303) 673-7164

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0117X
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

314 South 6TH Street
Montrose, CO 81401-5719

Mailing address

P.O. Box 911057
Denver, CO 80291-1057
Phone (970) 764-9265

Other names 1

  • Southwest Spine Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

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

National Provider Directory
Tax ID family
St Anthony Family Medic321 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1535760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535760000000",
    "number": "1255813671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 911057",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802911057",
            "telephone_number": "970-764-9265",
            "fax_number": "970-764-9279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 SOUTH 6TH STREET",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015719",
            "telephone_number": "970-764-9265",
            "fax_number": "970-764-9279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC HEALTH INITIATIVES COLORADO",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-01",
        "last_updated": "2018-09-01",
        "status": "A",
        "authorized_official_last_name": "PESHEK",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "ASSOCIATE ADMINISTRATOR OMA",
        "authorized_official_telephone_number": "303-673-7164"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Spine Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montrose, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2018; 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.