Catholic Health Initiatives Colorado

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

CATHOLIC HEALTH INITIATIVES COLORADO

Practice address

1101 Teller County Rd 1
Cripple Creek, CO 80813-9613

Phone

(719) 776-4300

Fax

(719) 689-6303

NPI assigned

Mar 18, 2011

Organization subpart

No

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) 673-7175

Specialties & licenses 1

Addresses

Other names 1

• PENROSE URGENT CARE AT CRIPPLE CREEK Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 2

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

• Hailey Holland Bross, MD

  • Family Medicine Physician
  • Westminster, CO
  • NPI 1003357369
  NPD
• Leslie Ann Dabovich, MD

  • Family Medicine Physician
  • Pueblo, CO
  • NPI 1225349202
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1300406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463443200000",
    "number": "1639478530",
    "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": "1101 TELLER COUNTY RD 1",
            "city": "CRIPPLE CREEK",
            "state": "CO",
            "postal_code": "808139613",
            "telephone_number": "719-776-4300",
            "fax_number": "719-689-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC HEALTH INITIATIVES COLORADO",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-18",
        "last_updated": "2016-05-17",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OMA ADMINISTRATOR",
        "authorized_official_telephone_number": "303-673-7175"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PENROSE URGENT CARE AT CRIPPLE CREEK",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alessandra Marie Bullis, FNP-C
• Catholic Health Initiatives Colorado
• Catholic Health Initiatives Colorado
• Catholic Health Initiatives Colorado
• Catholic Health Initiatives Colorado
• Catholic Health Initiatives Colorado
• County of Teller School District Re1
• Diversus Health Inc
• Diversus Health Inc
• Gorman Medical LLC

• Urgent Care Clinic/Center in Cripple Creek, CO
• Providers in Cripple Creek, CO by specialty
• Urgent Care Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; 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.

Verify at the official NPI Registry.