1689952947 NPI number — CATHOLIC HEALTH INITIATIVES COLORADO

Table of content: (NPI 1689952947)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689952947 NPI number — CATHOLIC HEALTH INITIATIVES COLORADO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CATHOLIC HEALTH INITIATIVES COLORADO
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1689952947
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/11/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
P.O. BOX 911057
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DENVER
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80291-1057
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-486-5401
Provider Business Mailing Address Fax Number:
303-486-5502

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8510 BRYANT ST.
Provider Second Line Business Practice Location Address:
SUITE 320
Provider Business Practice Location Address City Name:
WESTMINSTER
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80031
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-430-6410
Provider Business Practice Location Address Fax Number:
303-430-6420
Provider Enumeration Date:
08/03/2011

Additional Information

Authorized Official

Authorized Official Last Name:
WATSON
Authorized Official First Name:
DAVID
Authorized Official Middle Name:
L
Authorized Official Title or Position:
C.M.O.
Authorized Official Telephone Number:
303-804-8119

Provider Taxonomy Codes

  • Taxonomy code: 207X00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com