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NPI Code Detail

MEDICARE: DENVER HEALTH AND HOSPITAL AUTHORITY

MEDICARE: DENVER HEALTH AND 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
1261QF0400XFederally Qualified Health Center (FQHC)0900CO

Other Identifiers

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

General Provider Information

NPI Number : 1417979170
Entity Type Code : Organization
Provider Name (Legal Business Name) : DENVER HEALTH AND HOSPITAL AUTHORITY
Provider Business Mailing Address
First Line : 777 BANNOCK ST
Second Line :
City : DENVER
State : CO
Zip : 80204-4507
Country : US
Telephone Number : 303-436-6000
Fax Number :
Provider Business Practice Location Address
First Line : 501 28TH ST
Second Line :
City : DENVER
State : CO
Zip : 80205-3003
Country : US
Telephone Number : 303-436-4600
Fax Number :
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : APRIL AUDAIN
Credential :
Telephone Number : 303-602-4965
Provider Enumeration Date : 07/24/2006
Last Update Date : 01/16/2025

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Directions to “DENVER HEALTH AND HOSPITAL AUTHORITY ” Practice Location

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