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

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

Practitioners 3

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
Centura Home Care LLC (12 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP
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 Doing business as
  • Centura Health Physician Group Center for Breast Care CHIC Other name

Other providers in Frisco, CO

All providers in Frisco, CO · Surgery Physician in Colorado

Sources for this page

Verify at the official NPI Registry.