Organization
CATHOLIC HEALTH INITIATIVES COLORADO
Active
Other names
Centura Health St. Mary Corwin Home Services
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN HANNAH (CFO)
(719) 557-4668
Entity
Organization
Contact information
Practice address
4112 OUTLOOK BLVD STE 260, PUEBLO, CO 81008
(719) 566-6600
(719) 566-6606
Mailing address
4112 OUTLOOK BLVD STE 260, PUEBLO, CO 81008-1667
(719) 566-6600
(719) 566-6606
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05775002
—
CO
Enumeration date
09/19/2006
Last updated
08/10/2018
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