NPIMap

Organization Active NPI

National Jewish South Denver

  • Multi-Specialty Clinic/Center
  • Englewood, CO
National Provider Identifier
1043858889
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
NATIONAL JEWISH SOUTH DENVER
Practice address
499 E Hampden Ave Ste 300
Englewood, CO 80113-2793
Phone
(303) 788-8500
Fax
(303) 788-8505
NPI assigned
Dec 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Vicki Medina, DIRECTOR
Title
Medical Staff Services
Phone
(303) 388-4461

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

499 E Hampden Ave Ste 300
Englewood, CO 80113-2793

Mailing address

1400 Jackson St
Denver, CO 80206-2762
Phone (303) 388-4461

Other identifiers 2

IdentifierTypeStateIssuer
1043858889MedicaidCO
1326015777MedicaidCO

Other names 1

  • NJH South Denver Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address NJHealth@njc.allscriptsdirect.net

National Provider Directory

National Provider Directory
Tax ID family
Natl Jewish CN T I11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611014400000",
    "number": "1043858889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 JACKSON ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802062762",
            "telephone_number": "303-388-4461",
            "fax_number": "303-270-2366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 E HAMPDEN AVE STE 300",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132793",
            "telephone_number": "303-788-8500",
            "fax_number": "303-788-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL JEWISH SOUTH DENVER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-11",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "MEDICAL STAFF SERVICES",
        "authorized_official_telephone_number": "303-388-4461",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DIRECTOR"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043858889",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326015777",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "NJHealth@njc.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "499 E Hampden Ave Ste 300",
            "city": "Englewood",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801132793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "NJH South Denver",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.