Catholic Health Initiatives Colorado
Organization Active NPI Nursing Facility/Intermediate Care Facility · Pueblo, CO
NPI 1942391487 · NPPES record last updated May 23, 2013
Key facts
- NPI
- 1942391487
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nursing Facility/Intermediate Care Facility 313M00000X
- Legal business name
- CATHOLIC HEALTH INITIATIVES COLORADO
- Practice address
- 1008 Minnequa Ave
Pueblo, CO 81004-3733 - Phone
- (719) 560-4000
- NPI assigned
- Sep 28, 2006
- Organization subpart
- No
Authorized official
- Name
- Rob Ryder
- Title
- Ceo
- Phone
- (719) 285-2039
Owners & managing parties with NPI records 3
-
Austin Edward Garza, M.D.
-
Richard T. Miller, M.D.
Other NPIs on the same Medicare enrollment 2
Member of 1
Affiliated clinicians 387
-
Emma Nydia Adams, PA-C
-
Derar Zakaryya Shanwan Albashaireh, M.B.B.S
-
David Walter Albrecht, M.D.
-
Ashley Allemon, D.O.
-
Lawrence C Anaya, M.D.
-
Wendy Rene Archuleta, FNP, AGACNP
-
Rishi Ariola-Tirella, M.D.
-
Lev Asherov, MD
-
James T Atkinson, DO
-
Camille George Azar, M.D.
-
Amira Bakkar, MD
-
Mohammad Asem Bakkar, M.D.
-
Danny C Ballenger, M.D.
-
Stephen Lee Barbee, M.D.
-
William L. Barry, M.D.
Medicare Care Compare: Hospital
- Listed as
- St Mary-Corwin Hospital
- Overall star rating
- ★★★★☆ 4 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Church
- Medicare certification status
- Active
- Emergency services
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Hospital certification: CCN 060012
- Legal name
- CATHOLIC HEALTH INITIATIVES COLORADO
- Doing business as
- ST. MARY-CORWIN HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Jan 30, 2019
- Beds
- 408
- Ownership / control type
- Church
- Organization structure
- Corporation · Non-profit
- Incorporated
- Jan 5, 1968 in CO
- Enrollment address
- 1008 Minnequa Ave
Pueblo, CO 81004-3733 - Hospital subgroups
- General, Short-term
All disclosed owners & managing parties 21
| Name | Role | Since | Share |
|---|---|---|---|
| David Crockenberg |
Corporate Director |
Sep 30, 2025 | |
| Eleanor Joy Powell |
Corporate Director |
Sep 30, 2025 | |
| Nadine a Heimann |
Corporate Director |
Sep 30, 2025 | |
| Commonspirit Health |
5% Or Greater Direct Ownership Interest | Nov 9, 2007 | 100% |
| Commonspirit Mountain Region |
Operational/Managerial Control | Nov 9, 2007 | |
| Michael Cafasso |
W-2 Managing Employee |
Feb 4, 2018 | |
| Vanesa Kochevar |
Corporate Director |
Sep 30, 2025 | |
| Kevin Gratham |
Corporate Director |
Sep 30, 2025 | |
| Nathan Springer |
Corporate Director |
Sep 30, 2025 | |
| Mitch Melfi |
Corporate Director |
Jul 30, 2025 | |
| Austin E Garza |
Corporate Director |
Sep 30, 2025 | |
| Tadd Richert |
Corporate Officer |
Jul 30, 2025 | |
| Operational/Managerial Control |
May 24, 2024 | ||
| Peter Paul Powers |
Corporate Director |
Sep 30, 2025 | |
| Sheri Shapiro |
Corporate Director |
Jul 30, 2025 | |
| Katherine Brooks |
Corporate Officer |
Jul 30, 2025 | |
| Tanah Wagenseller |
Corporate Director |
Sep 30, 2025 | |
| Richard Miller |
Corporate Director |
Sep 30, 2025 | |
| Danielle Summerville |
Corporate Director |
Sep 30, 2025 | |
| Andrew Gaasch |
Corporate Officer |
Mar 7, 2021 | |
| Corporate Director |
Jul 30, 2025 | ||
| Phyllis a Pennington |
Corporate Director |
Sep 30, 2025 | |
| David Carochi |
Corporate Director |
Sep 30, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040402000955 | CO | Part a Provider - Hospital | 8022927342 |
2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Pueblo, CO |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | Yes |
Addresses
Primary practice location
1008 Minnequa Ave
Pueblo, CO 81004-3733
Mailing address
PO Box 910545
Denver, CO 80291-0545
Phone (719) 776-4188
Other names
- Centura Health - St. Mary Corwin Hospital
Other providers in Pueblo, CO
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado
- Trace Caton
- Dwight Keither Caughfield
- Cheryl A Cavalli
- Miranda Cavin
All providers in Pueblo, CO · Nursing Facility/Intermediate Care Facility in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2013. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- 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.