# CATHOLIC HEALTH INITIATIVES COLORADO

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

## Provider details

- **NPI number:** 1992171219
- **Authorized official:** ANGELA SKINNER (OMA / ADMINISTRATOR)
- **Authorized official phone:** (303) 673-7175

## Contact information

- **Practice address:** 1263 LAKE PLAZA DR, SUITE 230, COLORADO SPRINGS, CO 80906-3564
- **Practice address phone:** (719) 776-3300
- **Practice address fax:** (719) 776-3329
- **Mailing address:** PO BOX 911057, DENVER, CO 80291-1057
- **Mailing address phone:** (303) 643-1099
- **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:** 08/20/2015
- **Last updated:** 04/20/2016