NPIMap

Organization Active NPI

Spanish Peaks New Alternatives, Inc.

Doing business as Catholic Outreach Day Center

  • Primary Care Clinic/Center
  • Grand Junction, CO
National Provider Identifier
1932905023
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
SPANISH PEAKS NEW ALTERNATIVES, INC.
Doing business as
Catholic Outreach Day Center
Practice address
302 Pitkin Ave
Grand Junction, CO 81501-2415
Phone
(719) 423-1500
NPI assigned
Feb 20, 2025
Last updated
Feb 20, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
SPANISH PEAKS NEW ALTERNATIVES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Authorized official

Name
Jennifer Rudnik, MPMNPI 1235001835
Title
Credentialing Manager
Phone
(719) 423-1341

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

302 Pitkin Ave
Grand Junction, CO 81501-2415

Mailing address

41 Montebello Rd Ste 204
Pueblo, CO 81001-1379
Phone (719) 545-2746

Other names 1

  • Catholic Outreach Day Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160128000583 CO Part B Supplier - Clinic/Group Practice 4385947134 Receives reassigned benefits from 23 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Pueblo, CO; Grand Junction, CO; Canon City, CO

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Health Solutions Family Practice and Walk-in Clinic12 organizations share this tax ID, including this one
Part of
Health Solutions Family Practice and Walk-in Clinic

Other organizations with this tax ID 11

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

Locations

2853 North Ave
Grand Junction, CO 81501
Phone (970) 256-9424

302 Pitkin Ave
Grand Junction, CO 81501
Phone (719) 423-1500

562 29 Rd
Grand Junction, CO 81504
Phone (970) 256-9424

41 Montebello Rd
Ste 202
Pueblo, CO 81001
Phone (719) 423-1341

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1740009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740009600000",
    "number": "1932905023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 MONTEBELLO RD STE 204",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810011379",
            "telephone_number": "719-545-2746",
            "fax_number": "719-545-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 PITKIN AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012415",
            "telephone_number": "719-423-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPANISH PEAKS NEW ALTERNATIVES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPANISH PEAKS NEW ALTERNATIVES, INC.",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A",
        "authorized_official_last_name": "RUDNIK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "719-423-1341",
        "authorized_official_credential": "MPM"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Catholic Outreach Day Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.