1477531580 NPI number — UNIVERSITY OF COLORADO HOSPITAL AUTHORITY

Table of content: (NPI 1477531580)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477531580 NPI number — UNIVERSITY OF COLORADO HOSPITAL AUTHORITY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UNIVERSITY OF COLORADO HOSPITAL AUTHORITY
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:
1477531580
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/20/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7901 E LOWRY BLVD
Provider Second Line Business Mailing Address:
F402, 3RD FLOOR
Provider Business Mailing Address City Name:
DENVER
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80230
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:
720-553-1754

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
12605 E 16TH AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AURORA
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80045-7019
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-724-5000
Provider Business Practice Location Address Fax Number:
303-724-5816
Provider Enumeration Date:
01/09/2006

Additional Information

Authorized Official

Authorized Official Last Name:
ALFORD
Authorized Official First Name:
JON
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO, UCHEALTH METRO DENVER REGION
Authorized Official Telephone Number:
720-848-7773

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X , with the licence number:  1161 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 21086 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 5009 . This is a "ROCKEY MOUNTAIN HMO SUBMI" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".
  • Identifier: 81062 . This is a "WPS CHAMPUS PROVIDER NUMB" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".
  • Identifier: 112367300 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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