Healthcare Provider Details

I. General information

NPI: 1730144593
Provider Name (Legal Business Name): CRAIG HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2006
Last Update Date: 09/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3425 S CLARKSON ST
ENGLEWOOD CO
80113-2811
US

IV. Provider business mailing address

3425 S CLARKSON ST
ENGLEWOOD CO
80113-2811
US

V. Phone/Fax

Practice location:
  • Phone: 303-789-8000
  • Fax: 303-789-8441
Mailing address:
  • Phone: 303-789-8000
  • Fax: 303-789-8441

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282E00000X
TaxonomyLong Term Care Hospital
License Number0662
License Number StateCO

VIII. Authorized Official

Name: MRS. JULIE KEEGAN
Title or Position: VICE PRESIDENT/ FINANCE
Credential:
Phone: 303-789-8443