Healthcare Provider Details
I. General information
NPI: 1568705770
Provider Name (Legal Business Name): THE COLORADO HEALTH FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/05/2013
Last Update Date: 04/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1721 E 19TH AVE #520
DENVER CO
80218-1251
US
IV. Provider business mailing address
1721 E 19TH AVE #520
DENVER CO
80218-1251
US
V. Phone/Fax
- Phone: 303-839-6741
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 282N00000X |
| Taxonomy | General Acute Care Hospital |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
APRIL
WINGELETH
Title or Position: PROGRAM COORDINATOR
Credential:
Phone: 303-839-6741