NPIMap

Organization Active NPI

Catholic Health Initiatives Colorado

Doing business as St. Mary-Corwin Hospital

  • General Acute Care Hospital
  • Pueblo, CO
National Provider Identifier
1306857974
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
328 Issued in CO
Legal business name
CATHOLIC HEALTH INITIATIVES COLORADO
Doing business as
St. Mary-Corwin Hospital
Practice address
1008 Minnequa Ave
Pueblo, CO 81004-3733
Phone
(719) 560-4000
NPI assigned
Aug 10, 2006
Last updated
Jan 21, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
CATHOLIC HEALTH INITIATIVESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Authorized official

Name
Tadd Richert
Title
Group VP Finance
Phone
(719) 571-7202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 328 CO Primary

Addresses

Primary practice location

1008 Minnequa Ave
Pueblo, CO 81004-3733

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
05012000MedicaidCO

Other names 1

  • St. Mary-Corwin Hospital Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040402000955 CO Part A Provider - Hospital 8022927342 2 other NPIs on this enrollment
Practice locations: Pueblo, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306857974. Details of each certification follow.

Hospital certification: CCN 060012

Legal name
CATHOLIC HEALTH INITIATIVES COLORADO
Doing business as
ST. MARY-CORWIN HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jan 30, 2019
Beds
408
Ownership / control type
Church
Organization structure
CorporationNon-profit
Incorporated
Jan 5, 1968 in CO
Enrollment address
1008 Minnequa Ave
Pueblo, CO 81004-3733
Main/Primary Hospital Location
Hospital subgroups
General, Short-term

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
St Mary-Corwin HospitalCCN 060012 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Church
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory
Part of
Catholic Health Initiatives

Ownership & related parties

All disclosed owners & managing parties 21

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
David Crockenberg Individual Corporate DirectorAdvisory Board Member Sep 30, 2025
Eleanor Joy Powell Individual Corporate DirectorAdvisory Board Member Sep 30, 2025
Nadine a Heimann Individual Corporate DirectorAdvisory Board Member Sep 30, 2025
Commonspirit Health Organization, Chicago, IL Corporation, Non-profit 5% Or Greater Direct Ownership Interest Nov 9, 2007 100%
Commonspirit Mountain Region Organization, Centennial, CO Corporation, Non-profit, Chain home office Operational/Managerial Control Nov 9, 2007
Michael Cafasso Individual W-2 Managing EmployeeCeo Feb 4, 2018
Vanesa Kochevar Individual Corporate DirectorAdvisory Board Member Sep 30, 2025
Kevin Gratham Individual Corporate DirectorAdvisory Board Member Sep 30, 2025
Nathan Springer Individual Corporate DirectorAdvisory Board Member Sep 30, 2025
Mitch Melfi Individual Corporate DirectorBoard Member Jul 30, 2025
Austin E Garza Individual Corporate DirectorAdvisory Board Member Sep 30, 2025
Tadd Richert Individual Corporate OfficerTreasurer Jul 30, 2025
Operational/Managerial ControlGroup VP of Finance May 24, 2024
Peter Paul Powers Individual Corporate DirectorEx Officio Advisory Board Member Sep 30, 2025
Sheri Shapiro Individual Corporate DirectorBoard Member Jul 30, 2025
Katherine Brooks Individual Corporate OfficerSecretary Jul 30, 2025
Tanah Wagenseller Individual Corporate DirectorAdvisory Board Member Sep 30, 2025
Richard Miller Individual Corporate DirectorAdvisory Board Member Sep 30, 2025
Danielle Summerville Individual Corporate DirectorAdvisory Board Member Sep 30, 2025
Andrew Gaasch Individual Corporate OfficerMountain Region President, CSH Mar 7, 2021
Corporate DirectorBoard Member Jul 30, 2025
Phyllis a Pennington Individual Corporate DirectorAdvisory Board Member Sep 30, 2025
David Carochi Individual Corporate DirectorAdvisory Board Member Sep 30, 2025

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Longmont United HospitalLongmont, CO, CCN 060003 Hospital 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2015
Vibra Hospital of DenverThornton, CO, CCN 062014 Hospital 5% Or Greater Direct Ownership Interest (49%) Jul 1, 2017
Progressive Care CenterCanon City, CO, CCN 065183 Skilled nursing facility Adp of the SNF Oct 1, 2023

Facilities with the same owner 35

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 35

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

Affiliated clinicians 387

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 387

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768953600000",
    "number": "1306857974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800022",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641800022",
            "telephone_number": "800-953-0104",
            "fax_number": "303-765-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 MINNEQUA AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043733",
            "telephone_number": "719-560-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC HEALTH INITIATIVES COLORADO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CATHOLIC HEALTH INITIATIVES",
        "enumeration_date": "2006-08-10",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A",
        "authorized_official_last_name": "RICHERT",
        "authorized_official_first_name": "TADD",
        "authorized_official_title_or_position": "GROUP VP FINANCE",
        "authorized_official_telephone_number": "719-571-7202"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CO",
            "license": "328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05012000",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "St. Mary-Corwin Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.