Healthcare Provider Details

I. General information

NPI: 1720145121
Provider Name (Legal Business Name): BRIGHTON COMMUNITY HOSPITAL ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2007
Last Update Date: 05/09/2022
Certification Date: 05/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 PRAIRIE CENTER PKWY
BRIGHTON CO
80601-4006
US

IV. Provider business mailing address

1600 PRAIRIE CENTER PKWY
BRIGHTON CO
80601-4006
US

V. Phone/Fax

Practice location:
  • Phone: 303-498-2100
  • Fax: 303-498-2115
Mailing address:
  • Phone: 303-498-2100
  • Fax: 303-498-2115

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License NumberPDO.0000000684
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number010311
License Number StateCO

VIII. Authorized Official

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