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Centura Health

Clinic/Center, Emergency Care in Lakewood, CO. Organization (NPI-2).

NPI number1013544014
StatusActive
Last updated in NPPESSep 10, 2020

Details

NPI
1013544014
Entity type
Organization (NPI-2)
Legal business name
Centura Health
Organization subpart
No
Enumeration date
Mar 27, 2020
Certification date
Sep 10, 2020
Last updated
Sep 10, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QE0002X Clinic/Center, Emergency Care––Yes
261QU0200X Clinic/Center, Urgent Care––

Other names

  • Centura Health Emergency And Urgent Care - Lakewood (Doing Business As)

Practice location

3280 S Wadsworth Blvd
Lakewood, CO 80227-5002

Phone 303-649-3620 · Fax 303-649-3621

Mailing address

Po Box 801666
Kansas City, MO 64180-1666

Phone 800-953-0104 · Fax 303-765-6670

Authorized official

Debra Carpenter
Vp, Ambulatory Services
3037656998

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