# CATHOLIC HEALTH INITIATIVES COLORADO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Primary Care Jordan Valley, IMWJ INT MED W JOR, Internal Medicine West Jordan
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396447645
- **Authorized official:** MRS. ANGELA J SKINNER (ADMINISTRATOR, OMA)
- **Authorized official phone:** (303) 673-7175

## Contact information

- **Practice address:** 3570 W 9000 S STE 100, WEST JORDAN, UT 84088-8871
- **Practice address phone:** (801) 903-5620
- **Practice address fax:** (801) 569-2384
- **Mailing address:** PO BOX 800022, KANSAS CITY, MO 64180-0022
- **Mailing address phone:** (800) 953-0104
- **Mailing address fax:** (303) 765-6670

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/20/2023
- **Last updated:** 02/17/2025