Healthcare Provider Details

I. General information

NPI: 1669420410
Provider Name (Legal Business Name): TOTAL HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 09/24/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2222 N NEVADA AVE STE 201
COLORADO SPRINGS CO
80907-6831
US

IV. Provider business mailing address

DEPARTMENT 1322
DENVER CO
80291-1322
US

V. Phone/Fax

Practice location:
  • Phone: 719-776-5454
  • Fax: 719-776-2516
Mailing address:
  • Phone: 303-486-5500
  • Fax: 303-486-5501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: RAMY HANNA
Title or Position: CFO
Credential:
Phone: 303-804-8189