NPIMap

Organization Active NPI

Craig Hospital

  • Long Term Care Hospital
  • Englewood, CO
National Provider Identifier
1730144593
Registry record updated Sep 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
0662 Issued in CO
Legal business name
CRAIG HOSPITAL
Practice address
3425 S Clarkson St
Englewood, CO 80113-2811
Phone
(303) 789-8000
Fax
(303) 789-8441
NPI assigned
Apr 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Julie Keegan
Title
Vice President/ Finance
Phone
(303) 789-8443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 0662 CO Primary

Addresses

Primary practice location

3425 S Clarkson St
Englewood, CO 80113-2811

Mailing address

3425 S Clarkson St
Englewood, CO 80113-2811
Phone (303) 789-8000

Other identifiers 1

IdentifierTypeStateIssuer
05000419MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030429000046 CO Part A Provider - Hospital 0941119259 Practice locations: Englewood, CO

Hospital certification: CCN 062011

Legal name
CRAIG HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Oct 1, 1992
Last certification
Jun 12, 2014
Beds
93
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Sep 30, 1910 in CO
Enrollment address
3425 S Clarkson St
Englewood, CO 80113-2811
Other Hospital Practice Location
Hospital subgroups
Long-term

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
Craig HospitalCCN 062011
Ownership
Non-profit
Certified
Oct 1, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Beds
93

National Provider Directory

National Provider Directory
Tax ID family
Craig Hospital3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Ownership & related parties

All disclosed owners & managing parties 24

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Geraldine Lewis-Jenkins Individual Corporate Director Jun 1, 2016
Molly Rauzi Individual Corporate Director Mar 1, 2016
Daniel J Frank Individual Corporate OfficerVP Finance Feb 1, 2019
W-2 Managing EmployeeVP Finance Feb 1, 2019
Joan F Henneberry Individual Corporate Director Jan 1, 2020
Jessica Hobbs Individual Corporate Director Dec 6, 2018
Angela Oakley Individual Corporate Director Mar 1, 2021
Craig Hospital Organization, Englewood, CO Non-profit Operational/Managerial Control Oct 1, 1992
Erin Eiselein Individual Corporate Director Sep 28, 2017
Jane Schumaker Individual Corporate Director Mar 1, 2021
Bruce Schroffel Individual Corporate Director Jun 1, 2020
Eric Feagler Individual Corporate Director Feb 1, 2016
Jennifer Hopkins Individual Corporate Director Sep 17, 2021
Kenneth Kelley Individual Corporate Director Apr 1, 2016
Mary Bucher Individual W-2 Managing EmployeeAr Manager Nov 17, 2003
Dwinita Mosby Tyler Individual Corporate Director Jan 1, 2020
Thomas E Balazy Individual Corporate Director Jul 1, 2008
Stacy Abel Individual Corporate OfficerVP of People and Culture Jan 1, 2019
W-2 Managing EmployeeVP of People and Culture Jan 1, 2019
John Kurath Individual Corporate Director Jan 2, 2017
Jenny Robinson Individual Corporate Director Aug 28, 2021
Jay Shepard Individual Corporate Director Mar 1, 2020
Dana Polonsky Individual Corporate OfficerVP Clinical Services Apr 1, 2005
W-2 Managing EmployeeVP Clinical Services Apr 1, 2005
Karleen Goerke Individual Corporate Director Jan 25, 2018
Jandel Allen-Davis Individual Corporate OfficerPresident Oct 1, 2018
W-2 Managing EmployeePresident Oct 1, 2018
Diane Reinhard Individual Corporate OfficerVP Patient Care Feb 9, 2009
W-2 Managing EmployeeVP Patient Care Feb 9, 2009

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 8

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

Affiliated clinicians 17

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254268800000",
    "number": "1730144593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 S CLARKSON ST",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132811",
            "telephone_number": "303-789-8000",
            "fax_number": "303-789-8441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 S CLARKSON ST",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132811",
            "telephone_number": "303-789-8000",
            "fax_number": "303-789-8441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2009-09-30",
        "status": "A",
        "authorized_official_last_name": "KEEGAN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "VICE PRESIDENT/ FINANCE",
        "authorized_official_telephone_number": "303-789-8443",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "CO",
            "license": "0662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05000419",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.