Catholic Health Initiatives Colorado

Organization Active NPI Orthopaedic Surgery of the Spine Physician · West Jordan, UT

NPI 1619660941 · NPPES record last updated Feb 14, 2025

Key facts

NPI
1619660941
Entity type
Organization (NPI type 2)
Primary specialty
Orthopaedic Surgery of the Spine Physician 207XS0117X
Legal business name
CATHOLIC HEALTH INITIATIVES COLORADO
Practice address
3584 W 9000 S Ste 209
West Jordan, UT 84088-5711
Phone
(385) 234-4787
Fax
(801) 984-6657
NPI assigned
Jun 1, 2023
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 1

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 UT

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20230615001995 UT Part B Supplier - Clinic/Group Practice 8022927342 Receives reassigned benefits from 168 practitioners
This NPI is an additional NPI on the enrollment
Practice locations: South Jordan, UT; West Jordan, UT; West Valley, UT; West Valley City, UT; Eagle Mountain, UT; Salt Lake City, UT; Cottonwood Heights, UT; Kaysville, UT…

National Provider Directory

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

Locations

3590 W 9000 S
Ste 209
West Jordan, UT 84088

3584 W 9000 S
Ste 209
West Jordan, UT 84088
Phone (801) 676-3776

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207XS0117X Yes
Brain Injury Medicine (Psychiatry & Neurology) Physician
Group: 193200000X MULTI-SPECIALTY GROUP
2084P0301X

Addresses

Primary practice location

3584 W 9000 S Ste 209
West Jordan, UT 84088-5711

Mailing address

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

Other names

  • BSWJ BRAIN SPINE W JOR Doing business as
  • Brain & Spine Jordan Valley Other name
  • Brain & Spine West Jordan Other name

Other providers in West Jordan, UT

All providers in West Jordan, UT · Orthopaedic Surgery of the Spine Physician in Utah

Sources for this page

Verify at the official NPI Registry.