Centura Health

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

Legal business name

CENTURA HEALTH

Practice address

3280 S Wadsworth Blvd
Lakewood, CO 80227-5002

Phone

(303) 649-3620

Fax

(303) 649-3621

NPI assigned

Mar 27, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Debra Carpenter, RN

Title

VP, Ambulatory Services

Phone

(303) 765-6998

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Centura Health Emergency and Urgent Care - Lakewood Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Chaffee Heights Family2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Centura Health

  • General Acute Care Hospital
  • Denver, CO
  • NPI 1568907905
  NPD tax ID

Networks

• devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599696000000",
    "number": "1013544014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 801666",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641801666",
            "telephone_number": "800-953-0104",
            "fax_number": "303-765-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 S WADSWORTH BLVD",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802275002",
            "telephone_number": "303-649-3620",
            "fax_number": "303-649-3621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTURA HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-27",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "VP, AMBULATORY SERVICES",
        "authorized_official_telephone_number": "303-765-6998",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OLD NPI",
            "identifier": "1083166623",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centura Health Emergency and Urgent Care - Lakewood",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Centura Health Emergency and Urgent Care - Lakewood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Center for Life Change, Inc
• Center for Resilience Strategies LLC
• Center for Valued Living PLLC
• Central Colorado Anesthesia Associates, LLC
• Central Colorado Anesthesia Associates, LLC
• Garret Cerny
• Carrie Cerreta-Kessie
• Alexandra Ruby Cesenas
• Ashlee Aleena Cespedes, MA, LPC
• Nicole Crystal Cessford

• Emergency Care Clinic/Center in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Emergency Care Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.