MEDICARE: UNIVERSITY OF COLORADO 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	261QE0002X	Emergency Care Clinic/Center
2	282N00000X	General Acute Care Hospital

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	:	1902396708
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY OF COLORADO HOSPITAL AUTHORITY

Provider Business Mailing Address
First Line	:	7901 E LOWRY BLVD
Second Line	:	MAIL STOP F402
City	:	DENVER
State	:	CO
Zip	:	80230-6507
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	15100 E 104TH AVE
Second Line	:
City	:	COMMERCE CITY
State	:	CO
Zip	:	80022-8611
Country	:	US
Telephone Number	:	303-286-6920
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	JULIE NICKELL
Credential	:
Telephone Number	:	720-848-0000

Provider Enumeration Date	:	05/16/2018
Last Update Date	:	04/14/2026

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