| Centura Health - Penrose St. Francis Health | |
|
825 E Pikes Peak Ave Colorado Springs CO 80903-3635 | |
| (719) 776-5000 | |
| Not Available |
| Full Name | Centura Health - Penrose St. Francis Health |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 825 E Pikes Peak Ave, Colorado Springs, Colorado |
| Authorized Official Name and Position | Daniel J Reeves (CFO) |
| Authorized Official Contact | 7197765911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centura Health - Penrose St. Francis Health Po Box 910506 Denver CO 80291-0506 Ph: (719) 776-4188 | Centura Health - Penrose St. Francis Health 825 E Pikes Peak Ave Colorado Springs CO 80903-3635 Ph: (719) 776-5000 |
| NPI Number | 1730198763 |
|---|---|
| Provider Enumeration Date | 08/07/2006 |
| Last Update Date | 05/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730198763 | NPI | - | NPPES |
| 05031000 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 354 (Colorado) | Primary |
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