MEDICARE: COLORADO HEALTH NETWORK, INC

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	261QD0000X	Dental Clinic/Center
2	261Q00000X	Clinic/Center

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	04016572	OTHER	CO	PROVIDER NUMBER

General Provider Information

NPI Number	:	1316353485
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COLORADO HEALTH NETWORK, INC

Provider Business Mailing Address
First Line	:	6260 E COLFAX AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80220-1515
Country	:	US
Telephone Number	:	303-837-0166
Fax Number	:	303-962-5303

Provider Business Practice Location Address
First Line	:	6260 E COLFAX AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80220-1515
Country	:	US
Telephone Number	:	303-863-0772
Fax Number	:	303-832-7823

Authorized Official
Title or Position	:	CHIEF CLINICAL OFFICER
Name	:	LILI CARRILLO
Credential	:	MHL
Telephone Number	:	303-962-5317

Provider Enumeration Date	:	07/09/2014
Last Update Date	:	03/15/2023

Similar Medicare Providers

1831104173 — WALGREEN CO
Practice Location Address:

6200 E COLFAX AVE
DENVER, CO
80220-1515

Practice Phone: 303-398-6061
Practice Fax:

1194008623 — COLORADO HEALTH NETWORK, INC
Practice Location Address:

6260 E COLFAX AVE
DENVER, CO
80220-1515

Practice Phone: 303-962-5317
Practice Fax: 303-832-7823

1902183189 — JILL CHRISTINE JANSEN
Practice Location Address:

6200 E COLFAX AVE
DENVER, CO
80220-1515

Practice Phone: 303-398-6066
Practice Fax: 303-398-5539

1881961084 — BLOSSOM ODIONG PHARMD
Practice Location Address:

6200 E COLFAX AVE
DENVER, CO
80220-1515

Practice Phone: 303-398-6066
Practice Fax:

1699107607 — DANIELLE GENO WILLIS LCSW
Practice Location Address:

6260 E COLFAX AVE
DENVER, CO
80220-1515

Practice Phone: 303-962-5317
Practice Fax: 303-832-7823

1144765595 — MR. CODY RUSSELL MEYER MA, LPC
Practice Location Address:

6260 E COLFAX AVE
DENVER, CO
80220-1515

Practice Phone: 303-837-0166
Practice Fax:

Directions to “COLORADO HEALTH NETWORK, INC ” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.