NPIMap

Organization Active NPI

Catholic Health Initiatives Colorado

Doing business as Centura Health - St. Mary Corwin Hospital

  • Nursing Facility/Intermediate Care Facility
  • Pueblo, CO
National Provider Identifier
1942391487
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
CATHOLIC HEALTH INITIATIVES COLORADO
Doing business as
Centura Health - St. Mary Corwin Hospital
Practice address
1008 Minnequa Ave
Pueblo, CO 81004-3733
Phone
(719) 560-4000
NPI assigned
Sep 28, 2006
Last updated
May 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2013

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

Authorized official

Name
Rob Ryder
Title
Ceo
Phone
(719) 285-2039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X Primary

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 1

  • Centura Health - St. Mary Corwin Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942391487. Details of each certification follow.

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
CorporationNon-profit
Incorporated
Jan 5, 1968 in CO
Enrollment address
1008 Minnequa Ave
Pueblo, CO 81004-3733
Main/Primary Hospital Location
Hospital subgroups
General, Short-term

Other NPIs on the same Medicare enrollment 2

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

Care Compare: Hospital

Medicare Care Compare
Listed as
St Mary-Corwin HospitalCCN 060012 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Church
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 21

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
David Crockenberg Individual Corporate DirectorAdvisory Board Member Sep 30, 2025
Eleanor Joy Powell Individual Corporate DirectorAdvisory Board Member Sep 30, 2025
Nadine a Heimann Individual Corporate DirectorAdvisory Board Member Sep 30, 2025
Commonspirit Health Organization, Chicago, IL Corporation, Non-profit 5% Or Greater Direct Ownership Interest Nov 9, 2007 100%
Commonspirit Mountain Region Organization, Centennial, CO Corporation, Non-profit, Chain home office Operational/Managerial Control Nov 9, 2007
Michael Cafasso Individual W-2 Managing EmployeeCeo Feb 4, 2018
Vanesa Kochevar Individual Corporate DirectorAdvisory Board Member Sep 30, 2025
Kevin Gratham Individual Corporate DirectorAdvisory Board Member Sep 30, 2025
Nathan Springer Individual Corporate DirectorAdvisory Board Member Sep 30, 2025
Mitch Melfi Individual Corporate DirectorBoard Member Jul 30, 2025
Austin E Garza Individual Corporate DirectorAdvisory Board Member Sep 30, 2025
Tadd Richert Individual Corporate OfficerTreasurer Jul 30, 2025
Operational/Managerial ControlGroup VP of Finance May 24, 2024
Peter Paul Powers Individual Corporate DirectorEx Officio Advisory Board Member Sep 30, 2025
Sheri Shapiro Individual Corporate DirectorBoard Member Jul 30, 2025
Katherine Brooks Individual Corporate OfficerSecretary Jul 30, 2025
Tanah Wagenseller Individual Corporate DirectorAdvisory Board Member Sep 30, 2025
Richard Miller Individual Corporate DirectorAdvisory Board Member Sep 30, 2025
Danielle Summerville Individual Corporate DirectorAdvisory Board Member Sep 30, 2025
Andrew Gaasch Individual Corporate OfficerMountain Region President, CSH Mar 7, 2021
Corporate DirectorBoard Member Jul 30, 2025
Phyllis a Pennington Individual Corporate DirectorAdvisory Board Member Sep 30, 2025
David Carochi Individual Corporate DirectorAdvisory Board Member Sep 30, 2025

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 387

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 387

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369267200000",
    "number": "1942391487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910545",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802910545",
            "telephone_number": "719-776-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 MINNEQUA AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043733",
            "telephone_number": "719-560-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC HEALTH INITIATIVES COLORADO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2013-05-23",
        "status": "A",
        "authorized_official_last_name": "RYDER",
        "authorized_official_first_name": "ROB",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "719-285-2039"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centura Health - St. Mary Corwin Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.