Healthcare Provider Details

I. General information

NPI: 1255491486
Provider Name (Legal Business Name): UNIVERSITY OF COLORADO HOSPITAL AUTHORITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 05/31/2024
Certification Date: 05/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8111 E LOWRY BLVD STE 110, MS B01
DENVER CO
80230-7255
US

IV. Provider business mailing address

7901 E LOWRY BLVD F402, 3RD FLOOR
DENVER CO
80230
US

V. Phone/Fax

Practice location:
  • Phone: 720-848-9590
  • Fax: 720-848-9593
Mailing address:
  • Phone:
  • Fax: 720-553-1754

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number990000063
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JULIE NICKELL
Title or Position: CFO
Credential:
Phone: 720-848-0000