Cs Cen Pt Tri-Lakes

LBN: Centura Ventures, Llc
Cs Cen Pt Tri-Lakes is an health care organization with primary practice located at 17230 Jackson Creek Pkwy Ste 170 , Monument CO 80132-7303. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Centura Ventures, Llc can be contacted via phone (719) 571-7080, or through Carpenter, Debra via phone (303) 765-6998.

Contact Information

Primary practice address
17230 Jackson Creek Pkwy Ste 170 Monument CO 80132-7303
Phone: (719) 571-7080
Fax: (719) 571-7089
Website:
Map and Directions
Authorized official contact:
Name: Carpenter, Debra Registered Nurse (RN)
Phone: (303) 765-6998

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X

Profile Details

NPI number 1194357236
LBN Legal business name Centura Ventures, Llc
DBA Doing business as Cs Cen Pt Tri-Lakes
Authorized official Carpenter, Debra Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2020
Last updated Jul 1st, 2021 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194357236 NPPES
Colorado MEDICAID 21500851
Colorado Other 1073882197

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