Catholic Health Initiatives Colorado

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

CATHOLIC HEALTH INITIATIVES COLORADO

Practice address

555 S Park Ave
Plaza II
Breckenridge, CO 80424-0000

Phone

(970) 453-1010

Fax

(970) 453-5407

NPI assigned

Sep 23, 2010

Organization subpart

No

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

Authorized official

Name

Angela J Skinner

Title

Oma Administrator

Phone

(303) 673-7175

Specialties & licenses 3

Addresses

Other names 2

• BRED BRECKENRIDGE CCEC Former legal business name
• St Anthony Breckenridge Medical Center Other name

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 3

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

• Scott W Fisher, M.D.

  • Surgery Physician
  • Colorado Springs, CO
  • NPI 1841265626
  NPD
• Jennifer K Heinicke, MD

  • Hospitalist Physician
  • Durango, CO
  • NPI 1154394021
  NPD
• Jessie Janel Jameson, M.D

  • Critical Care Medicine (Anesthesiology) Physician
  • Durango, CO
  • NPI 1710179247
  NPD

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597190400000",
    "number": "1972811008",
    "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": "555 S PARK AVE",
            "address_2": "PLAZA II",
            "city": "BRECKENRIDGE",
            "state": "CO",
            "postal_code": "804240000",
            "telephone_number": "970-453-1010",
            "fax_number": "970-453-5407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC HEALTH INITIATIVES COLORADO",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-23",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OMA ADMINISTRATOR",
        "authorized_official_telephone_number": "303-673-7175"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRED BRECKENRIDGE CCEC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "St Anthony Breckenridge Medical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Whitney Madelyn Burke
• Jacqueline Burns
• Corrie Burr, CLD
• Catholic Health Initiatives Colorado
• Catholic Health Initiatives Colorado
• Andrew Clark Catron, M.D.
• Jennifer P Clark, PA-C
• Tami L. Clark, DACM, DNM
• Cassie V Comeau, PH.D.
• Samantha Conroy, D.D.S.

• All providers in Breckenridge, CO
• Emergency Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.