MEDICARE: UNIVERSITY OF COLORADO DENVER

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	176138	CO

General Provider Information

NPI Number	:	1730324823
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY OF COLORADO DENVER

Provider Business Mailing Address
First Line	:	12700 E 19TH AVE
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80045-2507
Country	:	US
Telephone Number	:	303-724-6080
Fax Number	:	303-724-6036

Provider Business Practice Location Address
First Line	:	12700 E 19TH AVE
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80045-2507
Country	:	US
Telephone Number	:	303-724-6080
Fax Number	:	303-724-6036

Authorized Official
Title or Position	:	SENIOR PROFESSIONAL RESEARCH ASST.
Name	:	MEREDITH MEALER
Credential	:	RN
Telephone Number	:	303-724-6080

Provider Enumeration Date	:	12/04/2008
Last Update Date	:	12/04/2008

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