# CENTURA HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Centura Health Emergency and Urgent Care - Lakewood
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013544014
- **Authorized official:** MS. DEBRA CARPENTER RN (VP, AMBULATORY SERVICES)
- **Authorized official phone:** (303) 765-6998

## Contact information

- **Practice address:** 3280 S WADSWORTH BLVD, LAKEWOOD, CO 80227-5002
- **Practice address phone:** (303) 649-3620
- **Practice address fax:** (303) 649-3621
- **Mailing address:** PO BOX 801666, KANSAS CITY, MO 64180-1666
- **Mailing address phone:** (800) 953-0104
- **Mailing address fax:** (303) 765-6670

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QE0002X | Emergency Care Clinic/Center | — | NULL | Yes |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/27/2020
- **Last updated:** 09/10/2020