Organization
CATHOLIC HEALTH INITIATIVES COLORADO
Active
Other names
Medalion Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY STOKES (CFO, SENIOR SERVICES)
(303) 715-7013
Entity
Organization
Contact information
Practice address
1719 E BIJOU ST, COLORADO SPRINGS, CO 80909-5736
(719) 381-4969
(719) 381-4978
Mailing address
2425 S COLORADO BLVD, SUITE 250, DENVER, CO 80222-5946
(866) 905-0165
(303) 715-7010
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0993
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05650304
—
CO
01
—
7100582
EVERCARE - SENIOR HMO PLA
CO
Enumeration date
08/16/2006
Last updated
08/22/2020
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