Organization
CATHOLIC HEALTH INITIATIVES COLORADO
Active
Organization
CATHOLIC HEALTH INITIATIVES COLORADO
Active
Other names
Centura Health Physician Group St Thomas More Pediatric Health Svcs
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA SKINNER (ADMINISTRATOR OMA)
(303) 673-7175
Entity
Organization
Contact information
Practice address
1335 PHAY AVE, SUITE A, CANON CITY, CO 81212-2334
(719) 285-2091
(719) 285-2092
Mailing address
PO BOX 911057, DENVER, CO 80291-1057
(303) 643-1099
(303) 643-1176
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55906257
—
CO
Enumeration date
08/11/2014
Last updated
04/20/2016
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