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CENTURA VENTURES LLC NPI 1861821563


NPI Information

NPI: 1861821563
Provider Name: CENTURA VENTURES, LLC

Doing Business As: CENTURA HEALTH PHYSICIAN GROUP PHYSICAL MEDICINE

Classification: Physical Medicine & Rehabilitation - 2081P0004X
Entity Type: Organization

Specialization: Spinal Cord Injury Medicine

Address:
3030 N CIRCLE DR
SUITE 212
COLORADO SPRINGS, CO
ZIP 80909
Phone: (719) 776-4852
Get Directions

CENTURA VENTURES, LLC is a spinal cord injury medicine physical medicine rehabilitation in Colorado Springs, CO. The provider is a physician who addresses the prevention, diagnosis, treatment and management of traumatic spinal cord injury and non-traumatic etiologies of spinal cord dysfunction by working in an interdisciplinary manner. Care is provided to patients of all ages on a lifelong basis and covers related medical, physical, psychological and vocational disabilities and complications. CENTURA VENTURES, LLC NPI is 1861821563. 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 Physical Medicine.

The provider's business location address is:

3030 N CIRCLE DR
SUITE 212
COLORADO SPRINGS, CO
ZIP 80909-177
Phone: (719) 776-4852

The provider's authorized official is Sue Jardon .
The authorized official title is Administrator and has the following contact phone number (719) 571-8899.

The enumeration date for this NPI number is 11/4/2013 and was last updated on 8/25/2015.


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
12081P0004XPhysical Medicine & RehabilitationSpinal Cord Injury MedicineYes

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
1COB4569MEDICARE 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: 11/14/2023

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