1003153941 NPI number — NORTHWEST COMPREHENSIVE WOMENS HEALTHCARE

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1003153941 NPI number — NORTHWEST COMPREHENSIVE WOMENS HEALTHCARE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NORTHWEST COMPREHENSIVE WOMENS HEALTHCARE
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:
1003153941
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/11/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1225 CIMARRON DR
Provider Second Line Business Mailing Address:
STE 101
Provider Business Mailing Address City Name:
LAFAYETTE
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80026-3812
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
720-204-1870
Provider Business Mailing Address Fax Number:
303-302-1531

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1225 CIMARRON DR
Provider Second Line Business Practice Location Address:
STE 101
Provider Business Practice Location Address City Name:
LAFAYETTE
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80026-3812
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
720-204-1870
Provider Business Practice Location Address Fax Number:
303-302-1531
Provider Enumeration Date:
01/11/2013

Additional Information

Authorized Official

Authorized Official Last Name:
WESTON
Authorized Official First Name:
ROBIN
Authorized Official Middle Name:
Authorized Official Title or Position:
PRACTICE MANAGER
Authorized Official Telephone Number:
720-272-2547

Provider Taxonomy Codes

  • Taxonomy code: 261QH0100X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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