Healthcare Provider Details
I. General information
NPI: 1811196959
Provider Name (Legal Business Name): DENVER HEALTH & HOSPITAL AUTHORITY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/17/2007
Last Update Date: 01/16/2025
Certification Date: 01/16/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
19535 E 46TH AVE
DENVER CO
80249-6637
US
IV. Provider business mailing address
777 BANNOCK ST
DENVER CO
80204-4507
US
V. Phone/Fax
- Phone: 303-436-3159
- Fax: 303-436-5093
- Phone: 303-436-6000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QF0400X |
| Taxonomy | Federally Qualified Health Center (FQHC) |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 282N00000X |
| Taxonomy | General Acute Care Hospital |
| License Number | 0401 |
| License Number State | CO |
VIII. Authorized Official
Name:
APRIL
AUDAIN
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 303-602-4965