Organization
CATHOLIC HEALTH INITIATIVES COLORADO
Active
Other names
WCJD WOUND CARE JORDAN, Wound Care Jordan Valley, Wound Care at Holy Cross Hospital-Jordan Valley
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA J SKINNER (ADMINISTRATOR, OMA)
(303) 673-7175
Entity
Organization
Contact information
Practice address
3590 W 9000 S STE 105, WEST JORDAN, UT 84088-8858
(801) 601-2322
(801) 601-2679
Mailing address
PO BOX 800022, KANSAS CITY, MO 64180-0022
(800) 953-0104
(303) 765-6670
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
—
—
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
—
—
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
—
—
2084N0400X
Neurology Physician
—
—
Other
Enumeration date
03/22/2023
Last updated
02/19/2025
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