Catholic Health Iniatives Colorado
Organization Active NPI Rural Health Clinic/Center · Canon City, CO
NPI 1982835294 · NPPES record last updated May 17, 2018
Key facts
- NPI
- 1982835294
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- CATHOLIC HEALTH INIATIVES COLORADO
- Practice address
- 1338 Phay Ave BLDG D
Canon City, CO 81212 - Phone
- (719) 285-2700
- Fax
- (719) 285-2455
- NPI assigned
- Aug 4, 2009
- Organization subpart
- No
Authorized official
- Name
- Rick Kamerzell
- Title
- Admin Dir Operations
- Phone
- (719) 285-2606
Corporate family (same tax ID) 16
National Provider Directory
- Tax ID family
- St Thomas More Centura
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
1338 Phay Ave BLDG D
Canon City, CO 81212
Mailing address
1338 Phay Ave BLDG D
Canon City, CO 81212-2326
Phone (719) 285-2700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30435536 | Medicaid | CO |
Other names
- St Thomas More Rural Health Clinic
Other providers in Canon City, CO
- Dylan Casias
- Javier Del Castillo
- Nancy Marie Castro
- Catholic Health Iniatives Colorado
- Catholic Health Iniatives Colorado
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado
All providers in Canon City, CO · Rural Health 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 May 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.