Provider Demographics
NPI:1932206463
Name:CATHOLIC HEALTH INITIATIVES COLORADO
Entity Type:Organization
Organization Name:CATHOLIC HEALTH INITIATIVES COLORADO
Other - Org Name:CENTURA HOME INFUSION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:DENHOLM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-561-5061
Mailing Address - Street 1:1391 SPEER BLVD
Mailing Address - Street 2:SUITE 600
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-2508
Mailing Address - Country:US
Mailing Address - Phone:303-561-5000
Mailing Address - Fax:303-561-5050
Practice Address - Street 1:1391 SPEER BLVD
Practice Address - Street 2:SUITE 600
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-2508
Practice Address - Country:US
Practice Address - Phone:303-561-5000
Practice Address - Fax:303-561-5050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-19
Last Update Date:2008-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO0615700OtherNABP
CO40803848Medicaid
CO0615700OtherNABP