Active NPI
Catholic Health Initiatives Colorado
Doing business as Centura Health Urgent Care Canon City
- Emergency Medicine Physician
- Canon City, CO
National Provider Identifier
1730511320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- CATHOLIC HEALTH INITIATIVES COLORADO
- Doing business as
- Centura Health Urgent Care Canon City
- Practice address
- 3245 E US Highway 50
Unite E
Canon City, CO 81212-9343 - Phone
- (719) 285-2888
- Fax
- (719) 285-2889
- NPI assigned
- Aug 6, 2013
- Last updated
- May 5, 2016
- 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
- Angela Skinner
- Title
- Oma Administrator
- Phone
- (303) 673-7175
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary | ||
| Urgent Care Clinic/Center | 261QU0200X |
Addresses
Primary practice location
3245 E US Highway 50
Unite E
Canon City, CO 81212-9343
Mailing address
PO Box 911057
Denver, CO 80291-1057
Phone (303) 643-1099
Other names 1
- Centura Health Urgent Care Canon City
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| 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
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1462406400000",
"number": "1730511320",
"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": "3245 E US HIGHWAY 50",
"address_2": "UNITE E",
"city": "CANON CITY",
"state": "CO",
"postal_code": "812129343",
"telephone_number": "719-285-2888",
"fax_number": "719-285-2889"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CATHOLIC HEALTH INITIATIVES COLORADO",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-06",
"last_updated": "2016-05-05",
"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": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Centura Health Urgent Care Canon City",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Canon City, CO
- Catholic Health Initiatives Colorado (PRST PC STM)
- Catholic Health Initiatives Colorado (St. Thomas More Hospital Rural Health Clinic)
- Catholic Health Initiatives Colorado (St Thomas More Ear, Nose, Throat and Allergy Clinic)
- Catholic Health Initiatives Colorado (Orst Orthopedics STM)
- Catholic Health Initiatives Colorado (St. Thomas More Hospital Swing Bed Unit)
- Catholic Health Initiatives Colorado (Progressive Care Center)
- Catholic Health Initiatives Colorado (St Thomas More Physician Clinic)
- Catholic Health Initiatives Colorado (Ekst Ekg Interp STM)
- Catholic Health Initiatives Colorado (St. Thomas More Hospital)
- Catholic Health Initiatives Colorado (Stmcc Urgent)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.