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Organization
CATHOLIC HEALTH INITIATIVES COLORADO
Active
Organization
CATHOLIC HEALTH INITIATIVES COLORADO
Active
Other names
Traditional Family Medicine Center At Centura Health
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID P HESSELINK (VP-FINANCE PE)
(303) 804-8136
Entity
Organization
Contact information
Practice address
1925 E. ORMAN AVE., SUITE A-345, PUEBLO, CO 81004
(719) 557-3501
(719) 557-3545
Mailing address
P.O. BOX 911057, DENVER, CO 80291-1057
(303) 486-5401
(303) 486-5502
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/30/2011
Last updated
05/09/2012
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