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NPI Code Detail

MEDICARE: COLORADO COALITION FOR THE HOMELESS

MEDICARE: COLORADO COALITION FOR THE HOMELESS
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)CO DOES NOT REQUIRECO

General Provider Information

NPI Number : 1437547783
Entity Type Code : Organization
Provider Name (Legal Business Name) : COLORADO COALITION FOR THE HOMELESS
Provider Business Mailing Address
First Line : 2130 STOUT ST
Second Line :
City : DENVER
State : CO
Zip : 80205-2827
Country : US
Telephone Number : 303-293-2217
Fax Number : 303-293-2309
Provider Business Practice Location Address
First Line : 1630 S ACOMA ST
Second Line :
City : DENVER
State : CO
Zip : 80223-3602
Country : US
Telephone Number : 303-293-2217
Fax Number : 303-293-2309
Authorized Official
Title or Position : CFO
Name : PETE J STOLLER
Credential :
Telephone Number : 303-312-9606
Provider Enumeration Date : 01/08/2015
Last Update Date : 08/11/2020

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Directions to “COLORADO COALITION FOR THE HOMELESS ” 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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