NPI 1285168583

State of Colorado

Organisation Point of Service Denver, CO

Practice location

Address: 1575 Sherman Street Cdhs, Denver, CO 80203
Phone: (303) 866-7149

Authorised official

Name: Lyn Snow
Title: Compliance Officer
Phone: (303) 866-7149

Registered specialties (3)

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 727 (CO)

Other Point of Service providers in Colorado →

Point of Service

Managed Care Organizations Taxonomy 305S00000X Licence LPC0011949 (CO)

Point of Service

Managed Care Organizations Taxonomy 305S00000X Licence 302302 (MN)

Registry record

NPI: 1285168583
Entity type: Organization
NPI issued: 13 Apr 2017
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.