Healthcare Provider Details

I. General information

NPI: 1356816649
Provider Name (Legal Business Name): DENVER INDIAN HEALTH AND FAMILY SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2018
Last Update Date: 10/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2880 W HOLDEN PL
DENVER CO
80204-3353
US

IV. Provider business mailing address

2880 W HOLDEN PL
DENVER CO
80204-3353
US

V. Phone/Fax

Practice location:
  • Phone: 303-953-6610
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332800000X
TaxonomyIndian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ADRIANNE MADDUX
Title or Position: CEO
Credential:
Phone: 303-953-6618