=====================================================
General NPI Number Information
=====================================================
NPI Number | 1013627710
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ARAPAHOE COUNTY PUBLIC HEALTH - ENGLEWOOD
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/02/2022
-----------------------------------------------------
Last Update Date | 05/23/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4857 S BROADWAY
-----------------------------------------------------
City | ENGLEWOOD
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80113-6806
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 303-795-4584
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5334 S PRINCE ST
-----------------------------------------------------
City | LITTLETON
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80120-1136
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 303-795-4584
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | NURSING OPERATIONS
-----------------------------------------------------
Name | KEIANA CHOYCE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 303-795-4584
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QH0100X
-----------------------------------------------------
Taxonomy Name | Health Service Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------