Healthcare Provider Details

I. General information

NPI: 1225108780
Provider Name (Legal Business Name): NATIONAL JEWISH MEDICAL AND RESEARCH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 JACKSON ST HEALTH INITIATIVES
DENVER CO
80206-2761
US

IV. Provider business mailing address

1400 JACKSON ST HEALTH INITIATIVES
DENVER CO
80206-2761
US

V. Phone/Fax

Practice location:
  • Phone: 303-398-1057
  • Fax:
Mailing address:
  • Phone: 303-398-1057
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: DAVID BELLAMY
Title or Position: DIRECTOR CTC
Credential:
Phone: 303-398-1815