| Catholic Health Initiatives Colorado | |
|
82 S 1100 E Ste 103 Salt Lake City UT 84102-1889 | |
| (801) 505-5370 | |
| (801) 984-6655 |
| Full Name | Catholic Health Initiatives Colorado |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 82 S 1100 E Ste 103, Salt Lake City, Utah |
| Authorized Official Name and Position | Angela J Skinner (ADMINISTRATOR, OMA) |
| Authorized Official Contact | 3036737175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Catholic Health Initiatives Colorado Po Box 800022 Kansas City MO 64180-0022 Ph: (800) 953-0104 | Catholic Health Initiatives Colorado 82 S 1100 E Ste 103 Salt Lake City UT 84102-1889 Ph: (801) 505-5370 |
| NPI Number | 1851094718 |
|---|---|
| Provider Enumeration Date | 03/22/2023 |
| Last Update Date | 03/22/2023 |
| Certification Date | 03/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851094718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0008X | Psychiatry & Neurology - Neuromuscular Medicine | (* (Not Available)) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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