MEDICARE: DENVER HEALTH AND 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	3336S0011X	Specialty Pharmacy
2	3336C0002X	Clinic Pharmacy	990000300	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2002703	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982627493
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DENVER HEALTH AND HOSPITAL AUTHORITY

Provider Business Mailing Address
First Line	:	605 BANNOCK ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80204-4505
Country	:	US
Telephone Number	:	303-602-8726
Fax Number	:	303-602-3588

Provider Business Practice Location Address
First Line	:	605 BANNOCK ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80204-4505
Country	:	US
Telephone Number	:	303-602-8726
Fax Number	:	303-602-3588

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	APRIL AUDAIN
Credential	:
Telephone Number	:	303-602-4965

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	01/16/2025

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Directions to “DENVER HEALTH AND HOSPITAL AUTHORITY ” Practice Location

Language	Start Address	Practice Location

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