| Centura Family Care Center | |
|
916 Indiana Ave. Suite 120 Pueblo CO 81004 | |
| (719) 562-1122 | |
| (719) 562-0244 |
| Full Name | Centura Family Care Center |
|---|---|
| Speciality | Family Medicine |
| Location | 916 Indiana Ave., Pueblo, Colorado |
| Authorized Official Name and Position | David P Hesselink (VP-FINANCE PE) |
| Authorized Official Contact | 3038048136 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centura Family Care Center P.o. Box 911057 Denver CO 80291-1057 Ph: (303) 486-5401 | Centura Family Care Center 916 Indiana Ave. Suite 120 Pueblo CO 81004 Ph: (719) 562-1122 |
| NPI Number | 1710275037 |
|---|---|
| Provider Enumeration Date | 07/20/2011 |
| Last Update Date | 05/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710275037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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