MEDICARE: UNIVERSITY OF COLORADO HOSPITAL AUTHORITY

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
1	3336C0003X	Community/Retail Pharmacy
2	332B00000X	Durable Medical Equipment & Medical Supplies
3	333600000X	Pharmacy	990000063	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	0615495	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1255491486
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY OF COLORADO HOSPITAL AUTHORITY

Provider Business Mailing Address
First Line	:	7901 E LOWRY BLVD
Second Line	:	F402, 3RD FLOOR
City	:	DENVER
State	:	CO
Zip	:	80230
Country	:	US
Telephone Number	:
Fax Number	:	720-553-1754

Provider Business Practice Location Address
First Line	:	8111 E LOWRY BLVD
Second Line	:	STE 110, MS B01
City	:	DENVER
State	:	CO
Zip	:	80230-7255
Country	:	US
Telephone Number	:	720-848-9590
Fax Number	:	720-848-9593

Authorized Official
Title or Position	:	CFO
Name	:	JULIE NICKELL
Credential	:
Telephone Number	:	720-848-0000

Provider Enumeration Date	:	12/11/2006
Last Update Date	:	05/31/2024

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Directions to “UNIVERSITY OF COLORADO HOSPITAL AUTHORITY ” Practice Location

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