# DIVINE HEALTH GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DIVINE HEALTH GROUP LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1013821271
- **Legal business name:** DIVINE HEALTH GROUP LLC
- **Authorized official:** CHEYENNE ELAINE SHIPMAN (PMHNP-BC OWNER)
- **Authorized official phone:** (719) 252-2386

## Contact information

- **Practice address:** 7545 US HIGHWAY 50, LAMAR, CO 81052-9565
- **Practice address phone:** (719) 413-5261
- **Practice address fax:** (719) 888-1767
- **Mailing address:** 7545 US HIGHWAY 50, LAMAR, CO 81052-9565
- **Mailing address phone:** (719) 413-5261
- **Mailing address fax:** (719) 888-1767

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |

## Other

- **Enumeration date:** 10/02/2026
- **Last updated:** 10/02/2026