Healthcare Provider Details

I. General information

NPI: 1730738865
Provider Name (Legal Business Name): BRIGHTON COMMUNITY HOSPITAL ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2019
Last Update Date: 05/09/2022
Certification Date: 05/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1606 PRAIRIE CENTER PKWY STE 210
BRIGHTON CO
80601-4004
US

IV. Provider business mailing address

1606 PRAIRIE CENTER PKWY STE 210
BRIGHTON CO
80601-4004
US

V. Phone/Fax

Practice location:
  • Phone: 303-318-2229
  • Fax:
Mailing address:
  • Phone: 303-318-2229
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: TROY STOEHR
Title or Position: VP FINANCE
Credential:
Phone: 509-788-8460