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PORTERCARE ADVENTIST HEALTH SYSTEM NPI 1063811008


NPI Information

NPI: 1063811008
Provider Name: PORTERCARE ADVENTIST HEALTH SYSTEM

Doing Business As: CENTURA HEALTH PHYSICIAN GROUP CHURCH RANCH HEART & VASCULAR HEALTH

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
7233 CHURCH RANCH BLVD
WESTMINSTER, CO
ZIP 80021
Phone: (303) 925-4055
Get Directions

PORTERCARE ADVENTIST HEALTH SYSTEM is a cardiovascular disease internal medicine in Westminster, CO. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. PORTERCARE ADVENTIST HEALTH SYSTEM NPI is 1063811008. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Centura Health Physician Group Church Ranch Heart & Vascular Health.

The provider's business location address is:

7233 CHURCH RANCH BLVD
WESTMINSTER, CO
ZIP 80021-094
Phone: (303) 925-4055
Fax: (303) 925-4056

The provider's authorized official is Angela Skinner .
The authorized official title is Administrator Oma and has the following contact phone number (303) 673-7175.

The enumeration date for this NPI number is 8/15/2014 and was last updated on 4/28/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
175270862MEDICAIDCOLORADO
2C453748MEDICARE PINCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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