Healthcare Provider Details

I. General information

NPI: 1982627493
Provider Name (Legal Business Name): DENVER HEALTH AND HOSPITAL AUTHORITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 01/16/2025
Certification Date: 01/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 BANNOCK ST
DENVER CO
80204-4505
US

IV. Provider business mailing address

605 BANNOCK ST
DENVER CO
80204-4505
US

V. Phone/Fax

Practice location:
  • Phone: 303-602-8726
  • Fax: 303-602-3588
Mailing address:
  • Phone: 303-602-8726
  • Fax: 303-602-3588

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number990000300
License Number StateCO

VIII. Authorized Official

Name: APRIL AUDAIN
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 303-602-4965