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CENTURA HEALTH NPI 1013544014


NPI Information

NPI: 1013544014
Provider Name: CENTURA HEALTH

Doing Business As: CENTURA HEALTH EMERGENCY AND URGENT CARE - LAKEWOOD

Classification: Clinic/Center - 261QE0002X
Entity Type: Organization

Specialization: Emergency Care

CLIA Number: 06D2124408

Address:
3280 S WADSWORTH BLVD
LAKEWOOD, CO
ZIP 80227
Phone: (303) 649-3620
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CENTURA HEALTH is an emergency care clinic center in Lakewood, CO. CENTURA HEALTH NPI is 1013544014. The provider is registered as an organization entity type.
The provider Is Doing Business As Centura Health Emergency And Urgent Care - Lakewood.

The provider's business location address is:

3280 S WADSWORTH BLVD
LAKEWOOD, CO
ZIP 80227-002
Phone: (303) 649-3620
Fax: (303) 649-3621

The provider's authorized official is Debra Carpenter .
The authorized official title is Vp, Ambulatory Services and has the following contact phone number (303) 765-6998.

The CLIA number assigned to this NPI record is 06D2124408 - independent with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/27/2020 and was last updated on 9/10/2020.


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
1261QU0200XClinic/CenterUrgent CareNo
2261QE0002XClinic/CenterEmergency CareYes

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
11083166623OTHEROLD NPI

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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