Catholic Health Initiatives Colorado

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CATHOLIC HEALTH INITIATIVES COLORADO

Practice address

412 N C St
Cripple Creek, CO 80813-5052

Phone

(719) 776-4310

Fax

(719) 776-4320

NPI assigned

Aug 18, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Angela J Skinner

Title

Administrator, Oma

Phone

(303) 673-7175

Specialties & licenses 1

Addresses

Other names 2

• CCVM PC CRIPPLE CREEK Doing business as
• CHPG Cripple Creek-Victor Mountain Health Clinic Other name

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 1

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

• Gil Porat, MD

  • Hospitalist Physician
  • Colorado Springs, CO
  • NPI 1750350450
  NPD

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600214400000",
    "number": "1821600313",
    "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": "412 N C ST",
            "city": "CRIPPLE CREEK",
            "state": "CO",
            "postal_code": "808135052",
            "telephone_number": "719-776-4310",
            "fax_number": "719-776-4320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC HEALTH INITIATIVES COLORADO",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR, OMA",
        "authorized_official_telephone_number": "303-673-7175",
        "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": "CCVM PC CRIPPLE CREEK",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CHPG Cripple Creek-Victor Mountain Health Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Catholic Health Initiatives Colorado
• Catholic Health Initiatives Colorado
• Catholic Health Initiatives Colorado
• Catholic Health Initiatives Colorado
• Catholic Health Initiatives Colorado
• County of Teller School District Re1
• Diversus Health Inc
• Diversus Health Inc
• Gorman Medical LLC
• Lorraine Gwen Grube, PA-C

• Family Medicine Physician in Cripple Creek, CO
• Providers in Cripple Creek, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.

Verify at the official NPI Registry.