Organization
CATHOLIC HEALTH INITIATIVES COLORADO
Active
Other names
Traditional Family Medicine Center At Centura Health
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID P HESSELINK (VP-FINANCE PE)
(303) 804-8136
Entity
Organization
Contact information
Practice address
1925 E. ORMAN AVE., SUITE A-345, PUEBLO, CO 81004
(719) 557-3501
(719) 557-3545
Mailing address
P.O. BOX 911057, DENVER, CO 80291-1057
(303) 486-5401
(303) 486-5502
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/30/2011
Last updated
05/09/2012
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