Catholic Health Initiatives Colorado
Organization Active NPI Surgery Physician · Frisco, CO
NPI 1669004792 · NPPES record last updated Jul 23, 2020
Key facts
- NPI
- 1669004792
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 208600000X
- Legal business name
- CATHOLIC HEALTH INITIATIVES COLORADO
- Practice address
- 360 Peak One Dr
Ste 300
Frisco, CO 80443 - Phone
- (970) 668-6305
- Fax
- (970) 668-6301
- NPI assigned
- Feb 6, 2020
- Organization subpart
- No
Authorized official
- Name
- Ms. Angela J Skinner
- Title
- Administrator, Oma
- Phone
- (303) 673-7175
Corporate family (same tax ID) 11
Practitioners 3
-
Star Viviette Fowler, D.O.
-
Lyndsay Knopp, FNP-C
-
Chad Alan Ford, PA-C
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
- Centura Home Care LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician |
208600000X | Yes |
Addresses
Primary practice location
360 Peak One Dr
Ste 300
Frisco, CO 80443
Mailing address
PO Box 800022
Kansas City, MO 64180-0022
Phone (800) 953-0104
Other names
- BCSU BREASTCARE SUMMIT
- Centura Health Physician Group Center for Breast Care CHIC
Other providers in Frisco, CO
- 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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 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.