Organization · NPI-2

Catholic Health Iniatives Colorado

Family Medicine · Centennial, CO

NPI number1790295087
StatusActive
Last updated in NPPESOct 2, 2017

Details

NPI
1790295087
Entity type
Organization (NPI-2)
Legal business name
Catholic Health Iniatives Colorado
Organization subpart
No
Enumeration date
Oct 2, 2017
Last updated
Oct 2, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine–COYes

Other names

  • Centura Comprehensive Care Program (Doing Business As)

Practice location

9100 E Mineral Cir Fl 2
Centennial, CO 80112-3401

Phone 303-673-8075 · Fax 303-649-7156

Mailing address

Po Box 911057
Denver, CO 80291-1057

Phone 888-269-7001 · Fax 303-764-6640

Authorized official

Angela Skinner
Administrator / Oma
3036737175

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