Healthcare Provider Details

I. General information

NPI: 1962319723
Provider Name (Legal Business Name): COLURE HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

62 GREENE ST APT 2
NEW YORK NY
10012-4346
US

IV. Provider business mailing address

62 GREENE ST APT 2
NEW YORK NY
10012-4346
US

V. Phone/Fax

Practice location:
  • Phone: 530-315-8001
  • Fax:
Mailing address:
  • Phone: 530-315-8001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246Y00000X
TaxonomyHealth Information Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name: BENJAMIN ALEXANDER PETERSEN
Title or Position: CHIEF PEOPLE AND PRIVACY OFFICER
Credential:
Phone: 530-789-1830