1295225274 NPI number — UCH-MHS

Table of content: (NPI 1295225274)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1295225274 NPI number — UCH-MHS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UCH-MHS
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:
6
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:
1295225274
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/21/2023
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:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7890 FOUNTAIN MESA RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FOUNTAIN
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80817-1595
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
719-390-2680
Provider Business Practice Location Address Fax Number:
719-390-2684
Provider Enumeration Date:
05/15/2018

Additional Information

Authorized Official

Authorized Official Last Name:
HARDEN
Authorized Official First Name:
GREGORY
Authorized Official Middle Name:
ALAN
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
719-365-5000

Provider Taxonomy Codes

  • Taxonomy code: 261QE0002X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 282N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 116430100 . 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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