CATHOLIC HEALTH INITIATIVES COLORADO (NPI# 1720369150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720369150 |
| Entity Type | Organization |
| Organization Name | CATHOLIC HEALTH INITIATIVES COLORADO |
| Other Organization Name | TRADITIONAL FAMILY MEDICINE CENTER AT CENTURA HEALTH |
| Practice Address |
1925 E. Orman Ave. Suite A-345 Pueblo CO 81004 |
| Mailing Address |
P.o. Box 911057 Denver CO 80291-1057 |
| Practice Telephone | 7195573501 |
| Practice Fax Number | 7195573545 |
| Mailing Telephone | 3034865401 |
| Mailing Fax Number | 3034865502 |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2012-05-09 |
| Authorized Official Name | DAVID P HESSELINK (VP-FINANCE PE) |
| Authorized Official Telephone | 3038048136 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Traditional Family Medicine Center At Centura Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064964 | Catholic Health Initiatives Colorado | Family Medicine | 32214 Ellingwood Trl Ste 210, Evergreen, CO 80439-9719 | 2020-08-18 |
| 1164033056 | Catholic Health Initiatives Colorado | Obstetrics & Gynecology | 1000 Granby Park Dr., Granby, CO 80446 | 2020-08-13 |
| 1023629383 | Catholic Health Initiatives Colorado | Family Medicine | 400 N Park Ave Ste 1a, Breckenridge, CO 80424-8709 | 2020-08-11 |
| 1437760790 | Catholic Health Initiatives Colorado | Obstetrics & Gynecology | 360 Peak One Dr Ste 260, Frisco, CO 80443-5948 | 2020-08-11 |
| 1982213328 | Catholic Health Initiatives Colorado | Internal Medicine | 1000 Granby Park Dr, Granby, CO 80446-0000 | 2020-07-30 |
| 1437768009 | Catholic Health Initiatives Colorado | Internal Medicine | 920 Rush Dr Ste A, Salida, CO 81201-9669 | 2020-07-29 |
| 1942819578 | Catholic Health Initiatives Colorado | Anesthesiology | 11700 W 2nd Pl Ste 225, Lakewood, CO 80228-1707 | 2020-07-29 |
| 1508475278 | Catholic Health Initiatives Colorado | Orthopaedic Surgery | 1263 Lake Plaza Dr Ste 210a, Colorado Springs, CO 80906-3564 | 2020-07-28 |
| 1770192502 | Catholic Health Initiatives Colorado | Clinic/Center | 17230 Jackson Creek Pkwy Ste 120, Monument, CO 80132-7302 | 2020-07-28 |
| 1801419197 | Catholic Health Initiatives Colorado | Clinic/Center | 5607 Barnes Rd Ste 140, Colorado Springs, CO 80917-1347 | 2020-05-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | CATHOLIC HEALTH INITIATIVES COLORADO | 9100 E. Mineral Circle, Centennial, CO 80112 |
| System for Award Management (SAM) Entities | CATHOLIC HEALTH INITIATIVES COLORADO | 9100 E Mineral Cir, Centennial, CO 80112-3401 |
| System for Award Management (SAM) Entities | CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION | 9100 E Mineral Cir Fl 4, Centennial, CO 80112-3401 |
| Colorado Business Entities | CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION | 2525 S. Downing St., 3rd Floor of Mason Hall, Denver, CO 80210 |
| Street Address |
1925 E. ORMAN AVE. SUITE A-345 |
| City | PUEBLO |
| State | CO |
| Zip Code | 81004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164499976 | Lonnie L Imlay | Surgery | 1925 E. Orman Ave., Suite A109, Pueblo, CO 81004 | 2006-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780155929 | Renee C Lane | Nurse Practitioner | 1925 E. Orman Ave. Ste. A109, Pueblo, CO 81004 | 2018-12-16 |
| 1215406913 | Kaiser Foundation Healthplan of Colorado | Pharmacy | 2625 W. Pueblo Blvd, Pueblo, CO 81004 | 2018-11-26 |
| 1053895532 | Rebecka Ann Reatherford | Nurse Practitioner | St Mary-corwin Medical Center, 1008 Minnequa Ave, Pueblo, CO 81004 | 2018-09-20 |
| 1124510821 | Angela M Sillas-green | Counselor | 327 Colorado Ave., Pueblo, CO 81004 | 2018-05-30 |
| 1558898569 | Alexandra R B King | Family Medicine | Southern Colorado Family Medicine, 902 Lakeview Avenue, Pueblo, CO 81004 | 2017-05-22 |
| 1578098752 | James Williams | Counselor | 414 Broadway Ave, Pueblo, CO 81004 | 2017-04-26 |
| 1740732601 | Valerie A Senger | Counselor | 635 W Corona Ave Ste 214, Pueblo, CO 81004 | 2016-10-26 |
| 1194111500 | A New Leaf Therapy, Pllc | Community/Behavioral Health | 327 Colorado Ave, Pueblo, CO 81004 | 2015-04-13 |
| 1619371671 | Mariah Mcginnis | Registered Nurse | 1232 Van Buren St., Pueblo, CO 81004 | 2014-10-20 |
| 1730593112 | Maritza Martinez | Registered Nurse | 1026 Wabriendo Ave, Pueblo, CO 81004 | 2014-06-13 |
| Find all providers in zip 81004 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356992606 | Kristie Lamotta | Family Medicine | 1600 N Grand Ave Ste 350, Pueblo, CO 81003-2729 | 2019-09-26 |
| 1558898569 | Alexandra R B King | Family Medicine | Southern Colorado Family Medicine, 902 Lakeview Avenue, Pueblo, CO 81004 | 2017-05-22 |
| 1134484660 | Aparna Seetharama | Family Medicine | 1600 N. Grand Ave, Ste 260, Pueblo, CO 81003-2729 | 2012-07-11 |
| 1710275037 | Catholic Health Initiatives Colorado | Family Medicine | 916 Indiana Ave., Suite 120, Pueblo, CO 81004 | 2011-07-20 |
| 1124336169 | Timothy J Cawlfield, Md, Pllc | Family Medicine | 41 Montebello Rd Ste 210, Pueblo, CO 81001-1379 | 2010-09-23 |
| 1639308828 | Emma Iovane Stout | Family Medicine | 115 E. Riverwalk, Suite 200, Pueblo, CO 81003-2246 | 2009-07-08 |
| 1750510145 | Wendy Alejandra Girard | Family Medicine | 1925 East Orman Avenue, Suite A109, Pueblo, CO 81004 | 2009-07-07 |
| 1881839694 | Bryan A Hynes | Family Medicine | 415 N Grand Ave, Pueblo, CO 81003-3111 | 2008-12-08 |
| 1093988917 | Louise Mcdade | Family Medicine | 8 Carlile Pl, Pueblo, CO 81004-1213 | 2008-04-11 |
| 1891914693 | Prairie Medical Clinic Pllc | Family Medicine | 1726 S Prairie Ave, Pueblo, CO 81005-2253 | 2007-04-24 |
| Find all providers in PUEBLO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.