Healthcare Provider Details

I. General information

NPI: 1770765992
Provider Name (Legal Business Name): RMCHS MANAGEMENT SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2007
Last Update Date: 11/29/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

THE CHILDREN'S HOSPITAL RADIOLOGY PROFESSIONALS DEPT. 2065
DENVER CO
80291-2056
US

IV. Provider business mailing address

THE CHILDREN'S HOSPITAL RADIOLOGY PROFESSIONALS DEPT. 2065
DENVER CO
80291-2056
US

V. Phone/Fax

Practice location:
  • Phone: 303-861-6164
  • Fax: 303-764-8049
Mailing address:
  • Phone: 303-861-6164
  • Fax: 303-764-8049

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085P0229X
TaxonomyPediatric Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. JEFF HARRINGTON
Title or Position: CFO
Credential:
Phone: 303-861-6164