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PORTERCARE ADVENTIST HEALTH SYSTEM NPI 1770194045


NPI Information

NPI: 1770194045
Provider Name: PORTERCARE ADVENTIST HEALTH SYSTEM

Other Name: CENTURA PRIMARY CARE LANDMARK

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 06D1047695

Address:
5351 S ROSLYN ST STE 200
GREENWOOD VILLAGE, CO
ZIP 80111
Phone: (303) 770-6500
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PORTERCARE ADVENTIST HEALTH SYSTEM is a family medicine in Greenwood Village, CO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PORTERCARE ADVENTIST HEALTH SYSTEM NPI is 1770194045. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Centura Primary Care Landmark.

The provider's business location address is:

5351 S ROSLYN ST STE 200
GREENWOOD VILLAGE, CO
ZIP 80111-132
Phone: (303) 770-6500
Fax: (303) 770-2211

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

The CLIA number assigned to this NPI record is 06D1047695 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/11/2020 and was last updated on 10/31/2022.


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
1207R00000XInternal MedicineNo
2207RG0300XInternal MedicineGeriatric MedicineNo
3208000000XPediatricsNo
42084P0800XPsychiatry & NeurologyPsychiatryNo
5207Q00000XFamily MedicineYes

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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