1437100039 NPI number — CRITICAL CARE PULMONARY AND SLEEP ASSOCIATES PROFESSIONAL LLP

Table of content: (NPI 1437100039)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437100039 NPI number — CRITICAL CARE PULMONARY AND SLEEP ASSOCIATES PROFESSIONAL LLP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CRITICAL CARE PULMONARY AND SLEEP ASSOCIATES PROFESSIONAL LLP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1437100039
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/13/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
274 UNION BLVD
Provider Second Line Business Mailing Address:
SUITE 110
Provider Business Mailing Address City Name:
LAKEWOOD
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80228-1813
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-951-0600
Provider Business Mailing Address Fax Number:
303-951-0605

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
274 UNION BLVD STE 200
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAKEWOOD
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80228-1835
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-951-0600
Provider Business Practice Location Address Fax Number:
303-951-0605
Provider Enumeration Date:
05/16/2006

Additional Information

Authorized Official

Authorized Official Last Name:
DENNEN
Authorized Official First Name:
PAULA
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
303-951-0600

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RC0200X , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207RP1001X , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RS0012X , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 122155800 , issued by the state of ( WY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0050096 , issued by the state of ( NM ) . This identifiers is of the category "MEDICAID".
  • Identifier: 200088570A , issued by the state of ( OK ) . This identifiers is of the category "MEDICAID".
  • Identifier: 04594040 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 10025360200 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 10025360500 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7134711 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 10025360300 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 200389130A , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 10025360400 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".




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