NPIMap

Catholic Health Initiatives Colorado

Organization Active NPI Family Medicine Physician · Layton, UT

NPI 1760203293 · NPPES record last updated Feb 17, 2025

Key facts

NPI
1760203293
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
CATHOLIC HEALTH INITIATIVES COLORADO
Practice address
1580 W Antelope Dr Ste 280
Layton, UT 84041-1222
Phone
(801) 776-0880
Fax
(801) 773-7399
NPI assigned
Oct 17, 2024
Organization subpart
No

Authorized official

Name
Mrs. Angela Jo Skinner
Title
Administrator
Phone
(720) 667-7283

Corporate family (same tax ID) 21

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

Practitioners 2

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

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D2317407Commonspirit Primary Care Davis
1580 W Antelope Dr, Ste 280, Layton, UT 84041		Certificate of waiverJan 22, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in UT

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20230615001995 UT Part B Supplier - Clinic/Group Practice 8022927342 Receives reassigned benefits from 168 practitioners
This NPI is an additional NPI on the enrollment
Practice locations: South Jordan, UT; West Jordan, UT; West Valley, UT; West Valley City, UT; Eagle Mountain, UT; Salt Lake City, UT; Cottonwood Heights, UT; Kaysville, UT…

National Provider Directory

Tax ID family
St Thomas More Centura (319 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X Yes

Addresses

Primary practice location

1580 W Antelope Dr Ste 280
Layton, UT 84041-1222

Mailing address

PO Box 800022
Kansas City, MO 64180-0022
Phone (800) 953-0104

Other names

  • CommonSpirit Primary Care Davis Doing business as
  • Primary Care Davis Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 17, 2025.

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739750400000",
    "number": "1760203293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800022",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641800022",
            "telephone_number": "800-953-0104",
            "fax_number": "303-765-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 W ANTELOPE DR STE 280",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840411222",
            "telephone_number": "801-776-0880",
            "fax_number": "801-773-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC HEALTH INITIATIVES COLORADO",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-17",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "720-667-7283",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CommonSpirit Primary Care Davis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Primary Care Davis",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Layton, UT

All providers in Layton, UT · Family Medicine Physician in Utah

Sources for this page

Verify at the official NPI Registry.