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Catholic Health Initiatives Colorado

Organization Active NPI Radiation Oncology Physician · Longmont, CO

NPI 1609593110 · NPPES record last updated Jun 25, 2024

Key facts

NPI
1609593110
Entity type
Organization (NPI type 2)
Primary specialty
Radiation Oncology Physician 2085R0001X
Legal business name
CATHOLIC HEALTH INITIATIVES COLORADO
Practice address
1950 Mountain View Ave
Longmont, CO 80501-3129
Phone
(303) 651-5252
Fax
(303) 678-4889
NPI assigned
Oct 25, 2022
Organization subpart
No

Authorized official

Name
Mrs. Angela Jo Skinner
Title
Administrator, Oma
Phone
(720) 667-7283

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 6

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CO

Medicare enrollment records

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

Tax ID family
St Thomas More Centura (319 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 2085R0001X Yes

Addresses

Primary practice location

1950 Mountain View Ave
Longmont, CO 80501-3129

Mailing address

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

Other names

  • LUH HOPE CANCER CARE Doing business as
  • CMG Radiation Oncology Longmont Other name

Other providers in Longmont, CO

All providers in Longmont, CO · Radiation Oncology Physician in Colorado

Sources for this page

Verify at the official NPI Registry.