Catholic Health Initiatives Colorado
Organization Active NPI Cardiovascular Disease Physician · Aztec, NM
NPI 1366051153 · NPPES record last updated Jul 28, 2020
Key facts
- NPI
- 1366051153
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- Legal business name
- CATHOLIC HEALTH INITIATIVES COLORADO
- Practice address
- 604 S Rio Grande Ave
Aztec, NM 87410-2260 - Phone
- (970) 764-2750
- Fax
- (970) 764-2623
- NPI assigned
- Jul 28, 2020
- Organization subpart
- No
Authorized official
- Name
- Angela Skinner
- Title
- Administrator Oma
- Phone
- (303) 673-7175
Corporate family (same tax ID) 3
Practitioners 7
-
Shayan Ahmadi, PAAA
-
Lena Messina, PA-C
-
Alan Travis Monroe, M.D.
-
Elizabeth Pleshe Neill, P.A., M.S.
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
Locations
6031 E Woodmen Rd
Ste 150
Colorado Springs, CO 80923
Phone (719) 776-5281
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician |
207RC0000X | Yes |
Addresses
Primary practice location
604 S Rio Grande Ave
Aztec, NM 87410-2260
Mailing address
PO Box 800022
Kansas City, MO 64180-0022
Phone (800) 953-0104
Other names
- CRMM CARDIO AZTEC
- Mercy Cardiology Associates
Other providers in Aztec, NM
- Cedric Butler
- Amber Button
- Edward Campos
- Sarah Michelle Canion
- Sharon J Carpenter
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado
- Center for Valued Living, PLLC
- Amanda Clearwater
- Brooke Coffey
All providers in Aztec, NM · Cardiovascular Disease Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2020. 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.