Healthcare Provider Details

I. General information

NPI: 1568741122
Provider Name (Legal Business Name): DENVER HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2011
Last Update Date: 08/12/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 BANNOCK STREET MC 3240
DENVER CO
80204
US

IV. Provider business mailing address

777 BANNOCK STREET MC 3240
DENVER CO
80204
US

V. Phone/Fax

Practice location:
  • Phone: 303-602-2720
  • Fax: 303-602-2719
Mailing address:
  • Phone: 303-602-2720
  • Fax: 303-602-2719

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number990162
License Number StateCO

VIII. Authorized Official

Name: MS. REBECCA HARRIS
Title or Position: FNP
Credential:
Phone: 303-602-2720