ROCKY MOUNTAIN SPORTS AND FAMILY MEDICINE AT CENTURA
NPI 1205112596
Family Medicine - Sports Medicine in Pueblo, CO

NPI Status: Active since October 31, 2011

Contact Information

1315 FORTINO BLVD
PUEBLO, CO
ZIP 81008
Phone: (719) 557-8600
Fax: (719) 557-8615

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  • Organization
  • Family Medicine
  • Sports Medicine
  • CLIA Number: 06D2035443
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-17-2026

About ROCKY MOUNTAIN SPORTS AND FAMILY MEDICINE AT CENTURA

This page provides the complete NPI Profile along with additional information for Rocky Mountain Sports And Family Medicine At Centura, a primary care provider established in Pueblo, Colorado operating as a Family Medicine, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1205112596 assigned on October 2011. The practitioner's primary taxonomy code is 207QS0010X. The provider is registered as an organization and their NPI record was last updated 10 years ago. Rocky Mountain Sports And Family Medicine At Centura operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Rocky Mountain Sports And Family Medicine At Centura. The authorized official of this NPI record is Angela Skinner (Oma Administrator)

NPI
1205112596
Provider Legal Name
CATHOLIC HEALTH INITIATIVES COLORADO
Other Organization Name
ROCKY MOUNTAIN SPORTS AND FAMILY MEDICINE AT CENTURA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1315 FORTINO BLVD PUEBLO, CO 81008
Location Phone
(719) 557-8600
Location Fax
(719) 557-8615
Mailing Address
PO BOX 911057 DENVER, CO 80291
Mailing Phone
(303) 643-1099
Mailing Fax
(719) 557-8615
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-31-2011
Last Update Date
04-22-2016
Code Navigator

A primary care provider (PCP) like Rocky Mountain Sports And Family Medicine At Centura sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine Sports Medicine

Taxonomy Code
207QS0010X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ANGELA SKINNER

Authorized Official Title
OMA ADMINISTRATOR
Authorized Official Phone
(303) 673-7175

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
C802980MEDICARE PIN (08)CO 
31436579MEDICAID (05)CO 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
06D2035443
Facility Type
Physician Office
Certificate Effective Date
January 18, 2024
Certificate Expiration Date
January 17, 2026
Laboratory Director
DR. PATRICIA TURNER
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Rocky Mountain Sports And Family Medicine At Centura in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1205112596, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
0
Doubled → 0
Pos 4
5
Unchanged
Pos 5
1
Doubled → 2
Pos 6
1
Unchanged
Pos 7
2
Doubled → 4
Pos 8
5
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 1 → 2 2 → 4 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 0 + 5 + 2 + 1 + 4 + 5 + 1 + 8 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1205112596.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Social Worker (Clinical)
1315 FORTINO BLVD
PUEBLO, CO 81008

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205112596, enumerated as an "organization" on October 31, 2011.

The provider is located at 1315 FORTINO BLVD PUEBLO, CO 81008 and the phone number is (719) 557-8600.

Family Medicine with taxonomy code 207QS0010X and a focus in Sports Medicine.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.