Organization
CATHOLIC HEALTH INITIATIVES COLORADO
Active
Other names
Rocky Mountain Sports and Family Medicine at Centura
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA SKINNER (OMA ADMINISTRATOR)
(303) 673-7175
Entity
Organization
Contact information
Practice address
1315 FORTINO BLVD, PUEBLO, CO 81008-1981
(719) 557-8600
(719) 557-8615
Mailing address
PO BOX 911057, DENVER, CO 80291-1057
(303) 643-1099
(303) 643-1176
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31436579
—
CO
Enumeration date
10/31/2011
Last updated
04/22/2016
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