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SOUTHERN COLORADO FAMILY MEDICINE
NPI 1710933163
Family Medicine in Pueblo, CO

Active since May 26, 2006
902 LAKEVIEW AVE, PUEBLO, CO 81004(719) 557-5855(719) 557-4652 Get Directions Write a Review

NPPES record last updated: April 22, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southern Colorado Family Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN COLORADO FAMILY MEDICINE (NPI 1710933163) is a healthcare organization registered as a family medicine in Pueblo, Colorado and active in the NPI registry since May 2006. The organization lists Angela Skinner, Oma Administrator, as its authorized official.

NPPES Registry Identity

NPI1710933163
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCATHOLIC HEALTH INITIATIVES COLORADO
Location Address902 LAKEVIEW AVEPueblo, CO 81004-3597
Mailing AddressPo Box 911057Denver, CO 80291-1057 · (303) 643-1099 · Fax (303) 643-1176
Phone(719) 557-5855
Fax(719) 557-4652
Organization SubpartNo
Authorized OfficialAngela SkinnerOma Administrator · (303) 673-7175
Enumeration DateMay 26, 2006
Last NPPES UpdateApril 22, 2016
✔ NPI 1710933163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
902 LAKEVIEW AVE, Pueblo, CO 81004
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Other Names 1

Doing Business AsSouthern Colorado Family Medicine

Other Identifiers 2

Medicare PINC260008CO
Medicaid49735578CO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CAMILA TERESA ROBLES DO
Family Medicine
902 LAKEVIEW AVE
PUEBLO, CO 81004
Pueblo County (719) 557-5872
MARK DAVIS PA-C
Physician Assistant
902 LAKEVIEW AVE
PUEBLO, CO 81004
Pueblo County (719) 557-5855
MADISON BASSETT
Student in an Organized Health Care Education/Training Program
902 LAKEVIEW AVE
PUEBLO, CO 81004
Pueblo County (719) 557-5855
REBECKA ANN REATHERFORD AGACNP-BC
Nurse Practitioner (Acute Care)
902 LAKEVIEW AVE
PUEBLO, CO 81004
Pueblo County (719) 557-5855
LUCINEI GERALDO STADNIK MD
Student in an Organized Health Care Education/Training Program
902 LAKEVIEW AVE
PUEBLO, CO 81004
Pueblo County (719) 557-5872
DR. LISA HAMILTON MD
Student in an Organized Health Care Education/Training Program
902 LAKEVIEW AVE
PUEBLO, CO 81004
Pueblo County (719) 557-5872
TIFFANY ANNE GARCIA FNP
Nurse Practitioner (Family)
902 LAKEVIEW AVE
PUEBLO, CO 81004
Pueblo County (719) 557-5855
DR. KIMBERLEY EVELYN JACKSON D.O.
General Practice
902 LAKEVIEW AVE
PUEBLO, CO 81004
Pueblo County (719) 557-5855

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Catholic Health Initiatives Colorado's NPI number?

The NPI number for Catholic Health Initiatives Colorado is 1710933163. It was assigned to this organization in the NPPES registry on May 26, 2006. The provider is doing business as Southern Colorado Family Medicine.

Where is Catholic Health Initiatives Colorado located?

Catholic Health Initiatives Colorado is located at 902 Lakeview Ave, Pueblo, CO 81004. The listed phone number is (719) 557-5855.

What is Catholic Health Initiatives Colorado's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Catholic Health Initiatives Colorado was last updated on April 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.