Healthcare Provider Details

I. General information

NPI: 1679485080
Provider Name (Legal Business Name): NATIONAL JEWISH HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 JACKSON ST # A197
DENVER CO
80206-2762
US

IV. Provider business mailing address

1400 JACKSON ST # A197
DENVER CO
80206-2762
US

V. Phone/Fax

Practice location:
  • Phone: 303-398-1686
  • Fax: 303-270-2167
Mailing address:
  • Phone: 303-398-1686
  • Fax: 303-270-2167

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: VICKI MEDINA
Title or Position: DIRECTOR, MEDICAL STAFF SERVICES
Credential:
Phone: 303-388-4461