Active NPI
Catholic Health Initiatives Colorado
Doing business as Uctl Tri Lakes Urgent
- Urgent Care Clinic/Center
- Monument, CO
National Provider Identifier
1770192502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- CATHOLIC HEALTH INITIATIVES COLORADO
- Doing business as
- Uctl Tri Lakes Urgent
- Practice address
- 17230 Jackson Creek Pkwy Ste 120
Monument, CO 80132-7302 - Phone
- (719) 571-7070
- Fax
- (719) 571-7079
- NPI assigned
- Jul 28, 2020
- Last updated
- Jul 17, 2024
- 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 Jo Skinner
- Title
- Administrator Oma
- Phone
- (720) 667-7283
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
17230 Jackson Creek Pkwy Ste 120
Monument, CO 80132-7302
Mailing address
PO Box 800022
Kansas City, MO 64180-0022
Phone (800) 953-0104
Other names 2
- UCTL TRI LAKES URGENT
- Commonspirit Urgent Care Tri-Lakes
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 |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D2089874 | Commonspirit Urgent Care Tri-Lakes | Certificate of waiver | Jan 8, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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- Medical Oncology Physician
- Durango, CO
- NPI 1760448690
-
- Adult Health Nurse Practitioner
- Colorado Springs, CO
- NPI 1164719464
-
- Orthopaedic Surgery Physician
- Parker, CO
- NPI 1114238722
-
- Family Medicine Physician
- Westminster, CO
- NPI 1720024748
-
- Family Medicine Physician
- Thornton, CO
- NPI 1790157543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595894400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721174400000",
"number": "1770192502",
"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": "17230 JACKSON CREEK PKWY STE 120",
"city": "MONUMENT",
"state": "CO",
"postal_code": "801327302",
"telephone_number": "719-571-7070",
"fax_number": "719-571-7079"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CATHOLIC HEALTH INITIATIVES COLORADO",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-28",
"last_updated": "2024-07-17",
"certification_date": "2024-07-17",
"status": "A",
"authorized_official_last_name": "SKINNER",
"authorized_official_first_name": "ANGELA",
"authorized_official_middle_name": "JO",
"authorized_official_title_or_position": "ADMINISTRATOR OMA",
"authorized_official_telephone_number": "720-667-7283"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "UCTL TRI LAKES URGENT",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "UCTL TRI LAKES URGENT",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Commonspirit Urgent Care Tri-Lakes",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Monument, CO
- Laura Dobbs Carson, MD
- Sharae' Marie Pascoe Carter, D.P.T.
- Catholic Health Initiatives Colorado (WHAW WH ACADEMY Monument)
- Catholic Health Initiatives Colorado (Centura Health Physician Group Tri-Lakes Primary Care)
- Catholic Health Initiatives Colorado (Centura Health Urgent Care Tri-Lakes)
- Catholic Health Initiatives Colorado (Physical Therapy Tri-Lakes)
- Catholic Health Initiatives Colorado (TLNH Primary Care)
- Craig Cato, MA, LPC
- Centura Ventures, LLC (CS Cen PT Tri-Lakes)
- Changing Points LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.