| Centura Health Physician Group Church Ranch Senior Care | |
|
7233 Church Ranch Blvd Westminster CO 80021-4094 | |
| (303) 925-4040 | |
| (303) 925-4041 |
| Full Name | Centura Health Physician Group Church Ranch Senior Care |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 7233 Church Ranch Blvd, Westminster, Colorado |
| Authorized Official Name and Position | Angela Skinner (OMA ADMINISTRATOR) |
| Authorized Official Contact | 3036737175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centura Health Physician Group Church Ranch Senior Care Po Box 911244 Denver CO 80291-1244 Ph: (303) 643-1099 | Centura Health Physician Group Church Ranch Senior Care 7233 Church Ranch Blvd Westminster CO 80021-4094 Ph: (303) 925-4040 |
| NPI Number | 1851796098 |
|---|---|
| Provider Enumeration Date | 10/30/2014 |
| Last Update Date | 04/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851796098 | NPI | - | NPPES |
| 79788530 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
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