MEDICARE: CENTERPOINTE HEALTH PARTNERS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207PE0005X	Undersea and Hyperbaric Medicine (Emergency Medicine) Physician

General Provider Information

NPI Number	:	1770381659
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTERPOINTE HEALTH PARTNERS

Provider Business Mailing Address
First Line	:	PO BOX 21150
Second Line	:
City	:	BOULDER
State	:	CO
Zip	:	80308-4150
Country	:	US
Telephone Number	:	719-219-9819
Fax Number	:	719-302-3678

Provider Business Practice Location Address
First Line	:	162 TRACKER DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80921-1005
Country	:	US
Telephone Number	:	719-219-9819
Fax Number	:	719-302-3678

Authorized Official
Title or Position	:	CEO
Name	:	JAMES AUST
Credential	:
Telephone Number	:	719-219-9819

Provider Enumeration Date	:	03/05/2025
Last Update Date	:	09/26/2025

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