Healthcare Provider Details

I. General information

NPI: 1891496337
Provider Name (Legal Business Name): DOUGLAS COUNTY COLORADO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2023
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11045 E LANSING CIR STE 300
ENGLEWOOD CO
80112-5909
US

IV. Provider business mailing address

11045 E LANSING CIR STE 300
ENGLEWOOD CO
80112-5909
US

V. Phone/Fax

Practice location:
  • Phone: 720-643-2400
  • Fax: 303-568-6617
Mailing address:
  • Phone: 720-643-2400
  • Fax: 303-568-6617

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL HILL
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 720-643-2470