Organization
CATHOLIC HEALTH INITIATIVES COLORADO
Active
Other names
Centura Health Physician Group Primary Care Broadmoor
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA SKINNER (OMA / ADMINISTRATOR)
(303) 673-7175
Entity
Organization
Contact information
Practice address
1263 LAKE PLAZA DR, SUITE 230, COLORADO SPRINGS, CO 80906-3564
(719) 776-3300
(719) 776-3329
Mailing address
PO BOX 911057, DENVER, CO 80291-1057
(303) 643-1099
(303) 643-1176
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50830058
—
CO
Enumeration date
08/20/2015
Last updated
04/20/2016
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