MEDICARE: COLORADO DEPARTMENT OF HUMAN SERVICES

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	283Q00000X	Psychiatric Hospital		CO

General Provider Information

NPI Number	:	1891896999
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COLORADO DEPARTMENT OF HUMAN SERVICES

Provider Business Mailing Address
First Line	:	1575 SHERMAN ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80203-1702
Country	:	US
Telephone Number	:	303-866-5000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1575 SHERMAN ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80203-1702
Country	:	US
Telephone Number	:	303-866-5000
Fax Number	:

Authorized Official
Title or Position	:	HIPAA PRIVACY AND SECURITY OFFICER
Name	:	MRS. KATHLEEN VERONICA FOO
Credential	:
Telephone Number	:	303-866-5871

Provider Enumeration Date	:	09/25/2006
Last Update Date	:	08/22/2020

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Directions to “COLORADO DEPARTMENT OF HUMAN SERVICES ” Practice Location

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