Healthcare Provider Details

I. General information

NPI: 1215919923
Provider Name (Legal Business Name): ST PAUL HEALTH CENTER, LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2005
Last Update Date: 07/26/2021
Certification Date: 07/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1667 SAINT PAUL ST
DENVER CO
80206-1614
US

IV. Provider business mailing address

1667 SAINT PAUL ST
DENVER CO
80206-1614
US

V. Phone/Fax

Practice location:
  • Phone: 303-399-2040
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number0085
License Number StateCO

VIII. Authorized Official

Name: MR. RICHARD WHELAN
Title or Position: OWNER
Credential:
Phone: 303-399-2040