Catholic Health Initiatives Colorado
Organization Active NPI Urgent Care Clinic/Center · Fountain, CO
NPI 1861024168 · NPPES record last updated Jul 17, 2024
Key facts
- NPI
- 1861024168
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- CATHOLIC HEALTH INITIATIVES COLORADO
- Practice address
- 7955 Fountain Mesa Rd
Fountain, CO 80817 - Phone
- (719) 776-3737
- Fax
- (719) 776-3740
- NPI assigned
- Feb 5, 2020
- Organization subpart
- No
Authorized official
- Name
- Angela Jo Skinner
- Title
- Administrator Oma
- Phone
- (720) 667-7283
Practitioners 5
-
Hannah E Houck, DO
-
Kelly Montgomery, CRNA
-
Julia Tanguay, D.O.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D2178407 | Commonspirit Urgent Care Fountain | Certificate of waiver | Feb 2, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| 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
Locations
4112 Outlook Blvd
Ste 303
Pueblo, CO 81008
Phone (719) 557-8600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Yes |
Addresses
Primary practice location
7955 Fountain Mesa Rd
Fountain, CO 80817
Mailing address
PO Box 800022
Kansas City, MO 64180-0022
Phone (800) 953-0104
Other names
- UCFN URGENT CARE
- Commonspirit Urgent Care Fountain
Other providers in Fountain, CO
- Claire Carpenter
- Kindee Lynn Carter
- Patrick Michael Cassidy
- Hannah Castro
- Cassandra Casul
- Leslie Katherine Chaffin
- Sydney Ann Chappell
- Jacob A Chavez
- Cheyenne Mountain Modern Dentistry, LLP
- Chuckies Place
All providers in Fountain, CO · Urgent Care Clinic/Center in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.