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	261Q00000X	Clinic/Center
2	282N00000X	General Acute Care Hospital

General Provider Information

NPI Number	:	1407479975
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY OF COLORADO HOSPITAL AUTHORITY

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

Provider Business Practice Location Address
First Line	:	100 COOK ST STE 102
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80206-5327
Country	:	US
Telephone Number	:	970-516-9413
Fax Number	:

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

Provider Enumeration Date	:	05/19/2020
Last Update Date	:	04/14/2026

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