Provider Demographics
NPI:1568907905
Name:CENTURA HEALTH
Entity Type:Organization
Organization Name:CENTURA HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CENTURA CLINICAL RESOURCES MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:
Authorized Official - Last Name:ONDREJKA
Authorized Official - Suffix:
Authorized Official - Credentials:MDN, RN
Authorized Official - Phone:303-260-2710
Mailing Address - Street 1:2465 S DOWNING ST
Mailing Address - Street 2:SUITES 204-205
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-5822
Mailing Address - Country:US
Mailing Address - Phone:303-260-2727
Mailing Address - Fax:303-260-2722
Practice Address - Street 1:2465 S DOWNING ST
Practice Address - Street 2:SUITES 204-205
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-5822
Practice Address - Country:US
Practice Address - Phone:303-260-2727
Practice Address - Fax:303-260-2722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-20
Last Update Date:2016-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COF1016983282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital