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NPI Code Detail

MEDICARE: COLORADO STATE VETERANS HOME AT FITZSIMONS

MEDICARE: COLORADO STATE VETERANS HOME AT FITZSIMONS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility0666CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073500450
Entity Type Code : Organization
Provider Name (Legal Business Name) : COLORADO STATE VETERANS HOME AT FITZSIMONS
Provider Business Mailing Address
First Line : 1919 QUENTIN ST
Second Line :
City : AURORA
State : CO
Zip : 80010-7125
Country : US
Telephone Number : 720-857-6400
Fax Number : 720-857-6500
Provider Business Practice Location Address
First Line : 1919 QUENTIN ST
Second Line :
City : AURORA
State : CO
Zip : 80010-7125
Country : US
Telephone Number : 720-857-6400
Fax Number : 720-857-6500
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. GARY NMN KOTZ
Credential :
Telephone Number : 720-857-6423
Provider Enumeration Date : 09/30/2005
Last Update Date : 08/22/2020

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1053579177 — STATE OF COLORADO
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1811336472 — MR. CHRISTOPHER ENGLAND PTA
Practice Location Address:
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Practice Phone: 720-857-6438
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1619360229 — KATRINA NORRIS
Practice Location Address:
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1497358998 — KATHLEEN NGUYEN PHARMD
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Directions to “COLORADO STATE VETERANS HOME AT FITZSIMONS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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