Centura Health Physician Group Tri-Lakes Primary Care
LBN: Catholic Health Initiatives Colorado
Centura Health Physician Group Tri-Lakes Primary Care is an health care organization with primary practice located at 17230 Jackson Creek Pkwy Suite 300, Monument CO 80132-7301. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Catholic Health Initiatives Colorado can be contacted via phone (719) 571-7000, or through Skinner, Angela via phone (303) 673-7175.
Contact Information
Primary practice address
17230 Jackson Creek Pkwy Suite 300
Monument CO 80132-7301
Phone: (719) 571-7000
Fax: (719) 571-7059
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X |
Profile Details
| NPI number | 1497157960 |
|---|---|
| LBN Legal business name | Catholic Health Initiatives Colorado |
| DBA Doing business as | Centura Health Physician Group Tri-Lakes Primary Care |
| Authorized official | Skinner, Angela |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 16th, 2014 |
| Last updated | Apr 20th, 2016 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497157960 | NPPES |
| Colorado | MEDICAID | 36258857 |
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