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Organization

PORTERCARE ADVENTIST HEALTH SYSTEM

Active
Other names
PRCA PC CASTLE PINES, Ridgeline Family Medicine-Castle Pines, CHPG Primary Care S Denver
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ANGELA J SKINNER (ADMINISTRATOR, OMA)
(303) 673-7175
Entity
Organization

Contact information

Practice address
250 MAX DR STE 102, CASTLE PINES, CO 80108-9518
(303) 649-3350
(303) 649-3378
Mailing address
PO BOX 801106, KANSAS CITY, MO 64180-1106
(800) 953-0104
(303) 765-6670

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
208000000X
Pediatrics Physician
2084P0800X
Psychiatry Physician

Other

Enumeration date
08/14/2020
Last updated
03/08/2021
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