# PORTERCARE ADVENTIST HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Centura Health Physician Group Southlands Primary Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548669666
- **Authorized official:** ANGELA SKINNER (ADMINISTRATOR OMA)
- **Authorized official phone:** (303) 643-0925

## Contact information

- **Practice address:** 6069 S SOUTHLANDS PKWY, AURORA, CO 80016-5316
- **Practice address phone:** (303) 928-7555
- **Practice address fax:** (303) 928-7560
- **Mailing address:** PO BOX 911244, DENVER, CO 80291-1244
- **Mailing address phone:** (303) 643-1090
- **Mailing address fax:** (303) 643-1176

## Taxonomy

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

## Other

- **Enumeration date:** 08/14/2014
- **Last updated:** 09/25/2015