Healthcare Provider Details
I. General information
NPI: 1467591198
Provider Name (Legal Business Name): DENVER HEALTH SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/06/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
210 UNIVERSITY BLVD SUITE 500
DENVER CO
80206-4616
US
IV. Provider business mailing address
210 UNIVERSITY BLVD SUITE 500
DENVER CO
80206-4616
US
V. Phone/Fax
- Phone: 303-321-2255
- Fax: 303-321-0856
- Phone: 303-321-2255
- Fax: 303-321-0856
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA1903X |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MICHAEL
LEE
MOORE
Title or Position: OWNER
Credential: M.D.
Phone: 303-321-2255