Healthcare Provider Details

I. General information

NPI: 1265753735
Provider Name (Legal Business Name): DENVER HEALTH MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2010
Last Update Date: 06/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 W 6TH AVE
DENVER CO
80204-5182
US

IV. Provider business mailing address

301 W 6TH AVE
DENVER CO
80204-5182
US

V. Phone/Fax

Practice location:
  • Phone: 303-602-8200
  • Fax:
Mailing address:
  • Phone: 303-602-8200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1000X
TaxonomyStudent Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. STEPHEN MACLEOD
Title or Position: DIRECTOR
Credential:
Phone: 303-602-8236