Organization
CATHOLIC HEALTH INITIATIVES COLORADO
Active
Other names
Centura Health - St. Mary Corwin Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
ROB RYDER (CEO)
(719) 285-2039
Entity
Organization
Contact information
Practice address
1008 MINNEQUA AVE, PUEBLO, CO 81004-3733
(719) 560-4000
Mailing address
PO BOX 910545, DENVER, CO 80291-0545
(719) 776-4188
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
328
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05012000
—
CO
Enumeration date
08/11/2006
Last updated
05/23/2013
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