Healthcare Provider Details

I. General information

NPI: 1477398980
Provider Name (Legal Business Name): COLORADO AMBULATORY CARE INSTITUTE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2024
Last Update Date: 06/26/2024
Certification Date: 06/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4201 E YALE AVE STE Y130
DENVER CO
80222-6597
US

IV. Provider business mailing address

2696 S COLORADO BLVD
DENVER CO
80222-5945
US

V. Phone/Fax

Practice location:
  • Phone: 303-468-7246
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JESSICA SCHLEMBACH SORSBY
Title or Position: OPERATIONS
Credential:
Phone: 636-980-6500