Centura Medical Group Primary Care Elizabeth | |
240 Elizabeth St Ste B Elizabeth CO 80107-7546 | |
(303) 269-2551 | |
(303) 269-2552 |
Full Name | Centura Medical Group Primary Care Elizabeth |
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Speciality | Family Medicine |
Location | 240 Elizabeth St Ste B, Elizabeth, Colorado |
Authorized Official Name and Position | Jason Tacha (COO) |
Authorized Official Contact | 3033047752 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Centura Medical Group Primary Care Elizabeth Po Box 801106 Kansas City MO 64180-1106 Ph: (800) 953-0104 | Centura Medical Group Primary Care Elizabeth 240 Elizabeth St Ste B Elizabeth CO 80107-7546 Ph: (303) 269-2551 |
NPI Number | 1003446485 |
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Provider Enumeration Date | 01/24/2020 |
Last Update Date | 03/19/2024 |
Identifier | Type | State | Issuer |
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1003446485 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Elizabeth Family Health Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 34061 Forest Park Dr, Elizabeth, CO 80107 Phone: 303-646-4071 Fax: 303-646-0908 |