Healthcare Provider Details

I. General information

NPI: 1215662820
Provider Name (Legal Business Name): URBAN PEAK DENVER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2022
Last Update Date: 03/07/2025
Certification Date: 07/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1548 N. OGDEN ST.
DENVER CO
80218-1453
US

IV. Provider business mailing address

1630 S ACOMA ST
DENVER CO
80223-3602
US

V. Phone/Fax

Practice location:
  • Phone: 303-974-2919
  • Fax: 303-974-2919
Mailing address:
  • Phone: 303-974-2900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CHRISTY RITZMAN
Title or Position: SENIOR ACCOUNTANT, MEDICAID MANAGER
Credential:
Phone: 303-974-2900