# CATHOLIC HEALTH INITIATIVES COLORADO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Centura Family Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710275037
- **Authorized official:** DAVID P HESSELINK (VP-FINANCE PE)
- **Authorized official phone:** (303) 804-8136

## Contact information

- **Practice address:** 916 INDIANA AVE., SUITE 120, PUEBLO, CO 81004
- **Practice address phone:** (719) 562-1122
- **Practice address fax:** (719) 562-0244
- **Mailing address:** P.O. BOX 911057, DENVER, CO 80291-1057
- **Mailing address phone:** (303) 486-5401
- **Mailing address fax:** (303) 486-5502

## Taxonomy

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

## Other

- **Enumeration date:** 07/20/2011
- **Last updated:** 05/09/2012