# PORTERCARE ADVENTIST HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Centura Health Physician Group Parker Pain Specialists
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114328358
- **Authorized official:** ANGELA SKINNER (OMA ADMINISTRATOR)
- **Authorized official phone:** (303) 673-7175

## Contact information

- **Practice address:** 15901 E BRIARWOOD CIR, SUITE 200, AURORA, CO 80016-1599
- **Practice address phone:** (303) 269-2626
- **Practice address fax:** (303) 269-2620
- **Mailing address:** PO BOX 911244, DENVER, CO 80291-1244
- **Mailing address phone:** (303) 643-1099
- **Mailing address fax:** (303) 643-1176

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/08/2014
- **Last updated:** 04/20/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 59120274 | — | CO |