| Catholic Health Initiatives Colorado | |
|
4052 W 3390 S 105 West Valley City UT 84120 | |
| (801) 964-3111 | |
| (801) 964-3752 |
| Full Name | Catholic Health Initiatives Colorado |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4052 W 3390 S, West Valley 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 4052 W 3390 S 105 West Valley City UT 84120 Ph: (801) 964-3111 |
| NPI Number | 1841993458 |
|---|---|
| Provider Enumeration Date | 03/23/2023 |
| Last Update Date | 03/23/2023 |
| Certification Date | 03/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841993458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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