Provider Demographics
NPI:1316058126
Name:CATHOLIC HEALTH INITIATIVES COLORADO
Entity type:Organization
Organization Name:CATHOLIC HEALTH INITIATIVES COLORADO
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:DENHOLM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-561-5061
Mailing Address - Street 1:1391 SPEER BLVD
Mailing Address - Street 2:SUITE 600
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-2508
Mailing Address - Country:US
Mailing Address - Phone:303-561-5000
Mailing Address - Fax:303-561-5050
Practice Address - Street 1:4025 CLUB MANOR DR
Practice Address - Street 2:SUITE 102
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81008-2004
Practice Address - Country:US
Practice Address - Phone:719-566-6600
Practice Address - Fax:719-566-6606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO08230340Medicaid
CO08230340Medicaid