MEDICARE: DENVER HEALTH & HOSPITAL AUTHORITY

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	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1265077416
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DENVER HEALTH & HOSPITAL AUTHORITY

Provider Business Mailing Address
First Line	:	777 BANNOCK ST # MC1923
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80204-4507
Country	:	US
Telephone Number	:	303-436-6000
Fax Number	:

Provider Business Practice Location Address
First Line	:	55 S ZUNI ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80223-1208
Country	:	US
Telephone Number	:	720-423-8950
Fax Number	:

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	APRIL AUDAIN
Credential	:
Telephone Number	:	303-602-4965

Provider Enumeration Date	:	11/12/2019
Last Update Date	:	01/16/2025

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Directions to “DENVER HEALTH & HOSPITAL AUTHORITY ” Practice Location

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