# PORTERCARE ADVENTIST HEALTH SYSTEM

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Centura Pain Specialists Lone Tree, PSLT PAIN SPEC LT
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154087955
- **Authorized official:** MRS. ANGELA J SKINNER (ADMINISTRATOR/OMA)
- **Authorized official phone:** (303) 673-7175

## Contact information

- **Practice address:** 9695 S YOSEMITE ST STE 255C, LONE TREE, CO 80124-2890
- **Practice address phone:** (303) 715-7670
- **Practice address fax:** (303) 715-7671
- **Mailing address:** PO BOX 801106, KANSAS CITY, MO 64180-1106
- **Mailing address phone:** (800) 953-0104
- **Mailing address fax:** (303) 765-6670

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/16/2021
- **Last updated:** 12/30/2021