CENTURA HEALTH (NPI# 1922342625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922342625 |
| Entity Type | Organization |
| Organization Name | CENTURA HEALTH |
| Practice Address |
1338 Phay Ave Canon City CO 81212-2302 |
| Practice Telephone | 7192852600 |
| Practice Fax Number | 7192852601 |
| Mailing Telephone | 7192852600 |
| Mailing Fax Number | 7192852601 |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2012-11-19 |
| Authorized Official Name | MEGHANN KELLIE VANSLAGER (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 7192852624 |
| Authorized Official Credential | PT, DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 11433 | CO | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | STATE OF COLORADO | 11433 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013544014 | Centura Health | Clinic/Center | 3280 S Wadsworth Blvd, Lakewood, CO 80227-5002 | 2020-03-27 |
| 1568907905 | Centura Health | General Acute Care Hospital | 2465 S Downing St, Suites 204-205, Denver, CO 80210-5822 | 2016-12-20 |
| 1912200718 | Centura Health | Clinic/Center | 8510 Bryant St, Suite 200, Westminster, CO 80031-3844 | 2010-12-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Centura Health & Entertainment, LLC | 1302 S Parker Rd, Suite 216, Denver, CO 80231 |
| Colorado Business Entities | CENTURA HEALTH CORPORATION | 9100 E. Mineral Circle, Centennial, CO 80112 |
| Street Address |
1338 PHAY AVE |
| City | CANON CITY |
| State | CO |
| Zip Code | 81212-2302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669462404 | Keith P Minihane | Orthopaedic Surgery | 1338 Phay Ave, Canon City, CO 81212-2302 | 2005-10-24 |
| 1699376764 | Pueblo Radiological Group, P.C. | Radiology | 1338 Phay Ave, Canon City, CO 81212-2311 | 2020-11-05 |
| 1275133506 | Sheridan Childrens Healthcare Services of Colorado PC | Pediatrics | 1338 Phay Ave, Canon City, CO 81212-2311 | 2020-10-27 |
| 1689272585 | Catholic Health Initiatives Colorado | Orthopaedic Surgery | 1338 Phay Ave, Bldg D Ortho, Canon City, CO 81212-2326 | 2020-10-13 |
| 1124634902 | Catholic Health Initiatives Colorado | Obstetrics & Gynecology | 1338 Phay Ave, Bldg D Ob, Canon City, CO 81212-2326 | 2020-09-17 |
| 1073124954 | Catholic Health Initiatives Colorado | Surgery | 1338 Phay Ave, Bldg D Gs, Canon City, CO 81212-2311 | 2020-08-13 |
| 1467061036 | Catholic Health Initiatives Colorado | Internal Medicine | 1338 Phay Ave, Canon City, CO 81212-2311 | 2020-07-29 |
| 1659907046 | Usacs of Colorado Inc | Emergency Medicine | 1338 Phay Ave, Canon City, CO 81212-2311 | 2020-03-17 |
| 1780241794 | Tyler William Randall | Nurse Practitioner | 1338 Phay Ave, Canon City, CO 81212-2311 | 2019-05-24 |
| 1790278950 | Rachel Ruth Maxwell | Physical Therapist | 1338 Phay Ave, Canon City, CO 81212-2311 | 2018-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083212393 | Buck Jack LLC | Physical Therapist | Mountain View Core Knowledge School 890 Field Ave, Cannon City, CO 81212 | 2020-10-09 |
| 1942841374 | Glorious Works Neurotherapy | Community/Behavioral Health | 115 N 7th Street, Canon City, CO 81212 | 2019-10-07 |
| 1376046292 | Lonnie Mccarron | Social Worker | 600 Evans Rd, Fremont Correctional Facility, Canon City, CO 81212 | 2018-03-16 |
| 1487156964 | Patrick Neil Cox | Case Manager/Care Coordinator | 3239 Independence Road, Canon City, CO 81212 | 2018-03-01 |
| 1831559806 | Justin Ensinger | Counselor | 700 Four Mile Parkway, Canon City, CO 81212 | 2016-03-03 |
| 1710365713 | Amber Conover | Health Educator | 105 N 10th Street, Canon City, CO 81212 | 2015-05-11 |
| 1902073448 | Richard R Williams | Counselor | 612 Field Ave, Canon City, CO 81212 | 2008-05-14 |
| 1861662249 | Huh Inc | Hearing Instrument Specialist | 121 Justice Center Rd Ste D, Canon City, CO 81212 | 2008-03-03 |
| 1013113828 | Deborah Eileen Shock | Nurse Practitioner | 275 W Hwy 50, Canon City, CO 81212 | 2007-06-27 |
| 1245433564 | Lindsey Elizabeth Fish | Internal Medicine | 275 West Hwy 50, Colorado Territorial Correctional Facility, Canon City, CO 81212 | 2007-06-06 |
| Find all providers in zip 81212 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730694308 | Catholic Health Iniatives Colorado | General Acute Care Hospital | 1338 Phay Ave, Canon City, CO 81212-2311 | 2017-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578184214 | University of Colorado Hospital Authority | General Acute Care Hospital | 13351 W Bowles Ave, Littleton, CO 80127-5207 | 2020-05-05 |
| 1679113104 | Catholic Health Initiatives Colorado | General Acute Care Hospital | 810 E 3rd St Ste 203, Durango, CO 81301-5728 | 2020-01-13 |
| 1104466630 | Catholic Health Initiatives Colorado | General Acute Care Hospital | 255 S Routt St Ste 100, Lakewood, CO 80228-2271 | 2020-01-13 |
| 1740820273 | Catholic Health Initiatives Colorado | General Acute Care Hospital | 255 S Routt St Ste 300, Lakewood, CO 80228-2354 | 2020-01-13 |
| 1003456534 | Portercare Adventist Health System | General Acute Care Hospital | 7233 Church Ranch Blvd Ste 1205, Westminster, CO 80021-4094 | 2020-01-13 |
| 1801436415 | Catholic Health Initiatives Colorado | General Acute Care Hospital | 3030 N Circle Dr Ste 217, Colorado Springs, CO 80909-1180 | 2020-01-11 |
| 1841830452 | Catholic Health Initiatives Colorado | General Acute Care Hospital | 4112 Outlook Blvd Ste 250, Pueblo, CO 81008-1667 | 2020-01-11 |
| 1992345508 | Catholic Health Initiatives Colorado | General Acute Care Hospital | 3207 N Academy Blvd Ste 100, Colorado Springs, CO 80917-5117 | 2020-01-11 |
| 1184264798 | Portercare Adventist Health System | General Acute Care Hospital | 7233 Church Ranch Blvd Ste 1028, Westminster, CO 80021-4094 | 2020-01-11 |
| 1912545765 | National Jewish Western Hemotology Oncology | General Acute Care Hospital | 400 Indiana St Ste 230, Golden, CO 80401-5027 | 2019-12-11 |
| Find all providers with the same taxonomy | ||||
| City | CANON CITY |
| Zip Code | 81212 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.