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NPI Code Detail

MEDICARE: COLORADO COALITION FOR THE HOMELESS

MEDICARE: COLORADO COALITION FOR THE HOMELESS
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
1261QF0400XFederally Qualified Health Center (FQHC)

General Provider Information

NPI Number : 1487326732
Entity Type Code : Organization
Provider Name (Legal Business Name) : COLORADO COALITION FOR THE HOMELESS
Provider Business Mailing Address
First Line : 2111 CHAMPA ST
Second Line :
City : DENVER
State : CO
Zip : 80205-2529
Country : US
Telephone Number : 303-293-2220
Fax Number :
Provider Business Practice Location Address
First Line : 2075 N BROADWAY
Second Line :
City : DENVER
State : CO
Zip : 80205-2853
Country : US
Telephone Number : 303-293-2220
Fax Number :
Authorized Official
Title or Position : CFO
Name : PETE J STOLLER
Credential :
Telephone Number : 303-312-9606
Provider Enumeration Date : 10/04/2021
Last Update Date : 01/02/2025

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Directions to “COLORADO COALITION FOR THE HOMELESS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.