Active NPI
Catholic Health Initiatives Colorado
Doing business as Mercy Internal Medicine
- Internal Medicine Physician
- Durango, CO
National Provider Identifier
1356710370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- CATHOLIC HEALTH INITIATIVES COLORADO
- Doing business as
- Mercy Internal Medicine
- Practice address
- 3235 Main Ave
Suite 2
Durango, CO 81301-4258 - Phone
- (970) 764-9300
- Fax
- (970) 764-9310
- NPI assigned
- Sep 21, 2015
- Last updated
- Sep 21, 2015
- Organization subpart
- No
NPPES NPI Registry
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) 643-0925
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
3235 Main Ave
Suite 2
Durango, CO 81301-4258
Mailing address
PO Box 911057
Denver, CO 80291-1057
Phone (303) 643-1099
Other names 1
- Mercy Internal Medicine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| 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
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Acute Care Nurse Practitioner
- Colorado Springs, CO
- NPI 1932404449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442793600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1442793600000",
"number": "1356710370",
"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": "3235 MAIN AVE",
"address_2": "SUITE 2",
"city": "DURANGO",
"state": "CO",
"postal_code": "813014258",
"telephone_number": "970-764-9300",
"fax_number": "970-764-9310"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CATHOLIC HEALTH INITIATIVES COLORADO",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-21",
"last_updated": "2015-09-21",
"status": "A",
"authorized_official_last_name": "SKINNER",
"authorized_official_first_name": "ANGELA",
"authorized_official_title_or_position": "OMA / ADMINISTRATOR",
"authorized_official_telephone_number": "303-643-0925"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mercy Internal Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Durango, CO
- Catholic Health Initiatives Colorado (PCMH Home Pall MMC)
- Catholic Health Initiatives Colorado (NLSW Neurology SW)
- Catholic Health Initiatives Colorado (Home Health Mercy Services)
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado (MMC Southwest Oncology)
- Catholic Health Initiatives Colorado (Health Services Clinic)
- Catholic Health Initiatives Colorado (Mercy Center for Occupational Medicine)
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado (Health Services Clinic)
- Catholic Health Initiatives Colorado (CMFC Crit Med Four CR)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; 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.