Catholic Health Initiatives Colorado

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CATHOLIC HEALTH INITIATIVES COLORADO

Doing business as

Mercy Family Medicine

Practice address

1 Mercado St
Suite160
Durango, CO 81301-7306

Phone

(970) 389-9850

Fax

(970) 385-9854

NPI assigned

May 2, 2012

Last updated

May 2, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David P Hesselink

Title

VP-Finance CHPG

Phone

(303) 804-8136

Specialties & licenses 1

Addresses

Other names 1

• MERCY FAMILY MEDICINE Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335916800000",
    "number": "1982962569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911057",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802911057",
            "telephone_number": "303-486-5401",
            "fax_number": "303-486-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MERCADO ST",
            "address_2": "SUITE160",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017306",
            "telephone_number": "970-389-9850",
            "fax_number": "970-385-9854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC HEALTH INITIATIVES COLORADO",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-02",
        "last_updated": "2012-05-02",
        "status": "A",
        "authorized_official_last_name": "HESSELINK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "VP-FINANCE CHPG",
        "authorized_official_telephone_number": "303-804-8136"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MERCY FAMILY MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Catholic Health Initiatives Colorado (Integrated Care Services)
• Catholic Health Initiatives Colorado (Southwest Colorado Anesthesia)
• Catholic Health Initiatives Colorado (RHMM Rheumatology MMD)
• Catholic Health Initiatives Colorado (Ormm Ortho MM)
• Catholic Health Initiatives Colorado (CMG Neonatology Mercy)
• Stacey L Cavanaugh, DPT
• Laurie Cavazza, RD
• Cedar Diagnostics, LLC
• Cedar Peaks Anesthesia Partners LLC
• Centura Health Pharmacy @ Mercy Regional Medical Center

• Family Medicine Physician in Durango, CO
• Providers in Durango, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; 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.