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
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician |
207XS0117X | Yes | ||
| Brain Injury Medicine (Psychiatry & Neurology) Physician |
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
- Brain & Spine Jordan Valley
- Brain & Spine West Jordan
Other providers in West Jordan, UT
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado
All providers in West Jordan, UT · Orthopaedic Surgery of the Spine Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2025. 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.