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Organization
CATHOLIC HEALTH INITIATIVES COLORADO
Active
Organization
CATHOLIC HEALTH INITIATIVES COLORADO
Active
Other names
Centura Health Urgent Care Broadmoor
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA SKINNER (OMA / ADMINISTRATOR)
(303) 673-7175
Entity
Organization
Contact information
Practice address
1263 LAKE PLAZA DR, SUITE 120, COLORADO SPRINGS, CO 80906-3564
(719) 776-3330
(719) 776-3349
Mailing address
PO BOX 911057, DENVER, CO 80291-1057
(303) 643-1099
(303) 643-1176
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
76700062
—
CO
Enumeration date
08/27/2015
Last updated
04/28/2016
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