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CENTENNIAL WOMENS HEALTH NPI 1336399989


NPI Information

NPI: 1336399989
Provider Name: CENTENNIAL WOMENS HEALTH
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 06D1072101

Address:
231 E 9TH AVE
LONGMONT, CO
ZIP 80504
Phone: (303) 651-2800
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CENTENNIAL WOMENS HEALTH is a specialist in Longmont, CO. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CENTENNIAL WOMENS HEALTH NPI is 1336399989. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

231 E 9TH AVE
LONGMONT, CO
ZIP 80504-686
Phone: (303) 651-2800

The provider's authorized official is M Therese Barrett .
The authorized official title is Owner and has the following contact phone number (303) 651-2800.

The CLIA number assigned to this NPI record is 06D1072101 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/19/2008 and was last updated on 2/16/2010.


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
1174400000XSpecialist29546COLORADOYes

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
101295468MEDICAIDCOLORADO
21336399989MEDICAIDCOLORADO
304484011MEDICAIDCOLORADO

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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