MEDICARE: DENVER HEALTH

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	282N00000X	General Acute Care Hospital	990162	CO

General Provider Information

NPI Number	:	1568741122
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DENVER HEALTH

Provider Business Mailing Address
First Line	:	777 BANNOCK STREET MC 3240
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80204
Country	:	US
Telephone Number	:	303-602-2720
Fax Number	:	303-602-2719

Provider Business Practice Location Address
First Line	:	777 BANNOCK STREET MC 3240
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80204
Country	:	US
Telephone Number	:	303-602-2720
Fax Number	:	303-602-2719

Authorized Official
Title or Position	:	FNP
Name	:	MS. REBECCA HARRIS
Credential	:
Telephone Number	:	303-602-2720

Provider Enumeration Date	:	08/12/2011
Last Update Date	:	08/12/2011

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Directions to “DENVER HEALTH ” Practice Location

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