Active NPI
Catholic Health Initiatives Colorado
- Family Medicine Physician
- Pueblo, CO
National Provider Identifier
1710275037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- CATHOLIC HEALTH INITIATIVES COLORADO
- Practice address
- 916 Indiana Ave.
Suite 120
Pueblo, CO 81004 - Phone
- (719) 562-1122
- Fax
- (719) 562-0244
- NPI assigned
- Jul 20, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David P Hesselink
- Title
- VP-Finance Pe
- Phone
- (303) 804-8136
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
916 Indiana Ave.
Suite 120
Pueblo, CO 81004
Mailing address
P.O. Box 911057
Denver, CO 80291-1057
Phone (303) 486-5401
Other names 1
- Centura Family Care Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
141 S Purcell Blvd
Ste 150
Pueblo, CO 81007
1925 E Orman Ave
Ste 440
Pueblo, CO 81004
Phone (719) 557-4744
1315 Fortino Blvd
Pueblo, CO 81008
Phone (719) 557-8600
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Pueblo, CO
- NPI 1578630885
-
- Family Medicine Physician
- Frisco, CO
- NPI 1962408013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311120000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1336521600000",
"number": "1710275037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 911057",
"city": "DENVER",
"state": "CO",
"postal_code": "802911057",
"telephone_number": "303-486-5401",
"fax_number": "303-486-5502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "916 INDIANA AVE.",
"address_2": "SUITE 120",
"city": "PUEBLO",
"state": "CO",
"postal_code": "81004",
"telephone_number": "719-562-1122",
"fax_number": "719-562-0244"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CATHOLIC HEALTH INITIATIVES COLORADO",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-20",
"last_updated": "2012-05-09",
"status": "A",
"authorized_official_last_name": "HESSELINK",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "VP-FINANCE PE",
"authorized_official_telephone_number": "303-804-8136"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Centura Family Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pueblo, 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. Last updated by the provider on May 9, 2012; 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.