MEDICARE: GOODNESS HEALTH, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207R00000X	Internal Medicine Physician
2	207RG0300X	Geriatric Medicine (Internal Medicine) Physician
3	363LG0600X	Gerontology Nurse Practitioner
4	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1609241264
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOODNESS HEALTH, LLC

Provider Business Mailing Address
First Line	:	PO BOX 21150
Second Line	:
City	:	BOULDER
State	:	CO
Zip	:	80308-4150
Country	:	US
Telephone Number	:	720-500-5488
Fax Number	:	866-880-7184

Provider Business Practice Location Address
First Line	:	925 N LINCOLN ST APT 15A
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80203-2768
Country	:	US
Telephone Number	:	720-500-5488
Fax Number	:	866-880-7184

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	STEPHANIE HUNTZINGER
Credential	:
Telephone Number	:	720-500-5488

Provider Enumeration Date	:	12/08/2015
Last Update Date	:	07/08/2025

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Directions to “GOODNESS HEALTH, LLC ” Practice Location

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