Provider Demographics
NPI:1578920013
Name:PAHS LARKIN VENTURES LLC
Entity Type:Organization
Organization Name:PAHS LARKIN VENTURES LLC
Other - Org Name:CENTURA HEALTH EMERGENCY AND URGENT CARE MERIDIAN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:LARKIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-838-0800
Mailing Address - Street 1:9949 S OSWEGO ST
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-3753
Mailing Address - Country:US
Mailing Address - Phone:713-838-0800
Mailing Address - Fax:
Practice Address - Street 1:6800 WEST LOOP S
Practice Address - Street 2:300
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-4528
Practice Address - Country:US
Practice Address - Phone:713-838-0800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-27
Last Update Date:2016-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care