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CENTENNIAL VALLEY WOMENS CLINIC NPI 1255444576


NPI Information

NPI: 1255444576
Provider Name: CENTENNIAL VALLEY WOMENS CLINIC

Other Name: S CORP

Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Organization

Specialization: Gynecology

Address:
511 CROSSING DR
#100A
LAFAYETTE, CO
ZIP 80026
Phone: (303) 673-0777
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CENTENNIAL VALLEY WOMENS CLINIC is a gynecology obstetrics gynecology in Lafayette, CO. CENTENNIAL VALLEY WOMENS CLINIC NPI is 1255444576. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is S Corp.

The provider's business location address is:

511 CROSSING DR
#100A
LAFAYETTE, CO
ZIP 80026
Phone: (303) 673-0777
Fax: (303) 673-9313

The provider's authorized official is Carolyn Sue Schaffter .
The authorized official title is Owner Doctor and has the following contact phone number (303) 673-0777.

The enumeration date for this NPI number is 8/17/2006 and was last updated on 8/22/2020.


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
1207VG0400XObstetrics & GynecologyGynecologyYes

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
104008777MEDICAIDCOLORADO

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.