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
1	1223D0001X	Public Health Dentistry	010444	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

General Provider Information

NPI Number	:	1477746105
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	:	MC 1923
City	:	DENVER
State	:	CO
Zip	:	80204-4507
Country	:	US
Telephone Number	:	303-436-6000
Fax Number	:

Provider Business Practice Location Address
First Line	:	777 BANNOCK ST
Second Line	:	MC 1923
City	:	DENVER
State	:	CO
Zip	:	80204-4507
Country	:	US
Telephone Number	:	303-436-6000
Fax Number	:

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	PEGGY J BURNETTE
Credential	:
Telephone Number	:	303-602-4964

Provider Enumeration Date	:	08/27/2007
Last Update Date	:	12/28/2015

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Directions to “DENVER HEALTH AND HOSPITAL AUTHORITY ” Practice Location

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