Healthcare Provider Details

I. General information

NPI: 1538958400
Provider Name (Legal Business Name): UCH-MHS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2025
Last Update Date: 11/10/2025
Certification Date: 11/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2920 N CASCADE AVE #204
COLORADO SPRINGS CO
80907-6262
US

IV. Provider business mailing address

7901 E LOWRY BLVD MAIL STOP F402
DENVER CO
80230-6507
US

V. Phone/Fax

Practice location:
  • Phone: 719-365-5260
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: GREGORY ALAN HARDEN
Title or Position: CFO
Credential:
Phone: 719-365-5000