Healthcare Provider Details

I. General information

NPI: 1790658383
Provider Name (Legal Business Name): COLORADO CHRISTIAN HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2025
Last Update Date: 09/29/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

955 PEACH LEAF LN
ELIZABETH CO
80107-8653
US

IV. Provider business mailing address

PO BOX 369
ELIZABETH CO
80107-0369
US

V. Phone/Fax

Practice location:
  • Phone: 303-204-9910
  • Fax:
Mailing address:
  • Phone: 303-204-9910
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code163WG0600X
TaxonomyGerontology Registered Nurse
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code163WI0500X
TaxonomyInfusion Therapy Registered Nurse
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: HARRISON CHARLES LOWELL
Title or Position: DIRECTOR
Credential: AGACNP
Phone: 303-204-9910