Catholic Health Initiatives Colorado | |
3580 W 9000 S West Jordan UT 84088-8812 | |
(801) 561-8888 | |
Not Available |
Full Name | Catholic Health Initiatives Colorado |
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Speciality | Psychiatric Unit |
Location | 3580 W 9000 S, West Jordan, Utah |
Authorized Official Name and Position | Andrew Gaasch (SR VP AND CFO) |
Authorized Official Contact | 3036738108 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Catholic Health Initiatives Colorado Po Box 800022 Kansas City MO 64180-0022 Ph: (800) 953-0104 | Catholic Health Initiatives Colorado 3580 W 9000 S West Jordan UT 84088-8812 Ph: (801) 561-8888 |
NPI Number | 1518662014 |
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Provider Enumeration Date | 04/03/2023 |
Last Update Date | 04/03/2023 |
Certification Date | 04/03/2023 |
Medicare PECOS PAC ID | 8022927342 |
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Medicare Enrollment ID | O20230713001056 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518662014 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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