Healthcare Provider Details

I. General information

NPI: 1275703910
Provider Name (Legal Business Name): UCHEALTH PIKES PEAK REGIONAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2008
Last Update Date: 11/08/2023
Certification Date: 11/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16420 WEST HIGHWAY 24
WOODLAND PARK CO
80863-8760
US

IV. Provider business mailing address

7901 E LOWRY BLVD F402, 3RD FLOOR
DENVER CO
80230-6510
US

V. Phone/Fax

Practice location:
  • Phone: 719-674-6060
  • Fax: 719-686-5725
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QC0050X
TaxonomyCritical Access Hospital Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number
License Number StateCO

VIII. Authorized Official

Name: GREGORY ALAN HARDEN
Title or Position: CFO
Credential:
Phone: 719-374-6060