# CENTURA VENTURES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CHPG Physical Medicine Church Ranch
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902275936
- **Authorized official:** SUE JARDON (ADMINISTRATOR)
- **Authorized official phone:** (719) 571-8899

## Contact information

- **Practice address:** 7233 CHURCH RANCH BLVD, JUNIPER POD, WESTMINSTER, CO 80021-4094
- **Practice address phone:** (303) 925-4003
- **Practice address fax:** (303) 925-4024
- **Mailing address:** PO BOX 912425, DENVER, CO 80291-2425
- **Mailing address phone:** (719) 562-6303
- **Mailing address fax:** (303) 397-2103

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/21/2015
- **Last updated:** 09/21/2015