NPIMap

Organization Active NPI

State of Colorado

  • Psychiatric Hospital Unit
  • Denver, CO
National Provider Identifier
1073646337
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
0196 Issued in CO
Legal business name
STATE OF COLORADO
Practice address
3520 W Oxford Ave
Denver, CO 80236-3108
Phone
(303) 866-7080
Fax
(303) 866-7088
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2010

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

Authorized official

Name
Mrs. Kat Foo
Title
Hipaa Officer
Phone
(303) 866-5871

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 0196 CO Primary

Addresses

Primary practice location

3520 W Oxford Ave
Denver, CO 80236-3108

Mailing address

1600 W 24TH St
Pueblo, CO 81003-1411
Phone (719) 546-4000

Other identifiers 1

IdentifierTypeStateIssuer
05640032MedicaidCO

Other names 1

  • Children's Services Other name

National Provider Directory

National Provider Directory
Tax ID family
Colorado State Veterans Nursing Home102 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 23

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289865600000",
    "number": "1073646337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W 24TH ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810031411",
            "telephone_number": "719-546-4000",
            "fax_number": "719-546-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 W OXFORD AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802363108",
            "telephone_number": "303-866-7080",
            "fax_number": "303-866-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF COLORADO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2010-11-16",
        "status": "A",
        "authorized_official_last_name": "FOO",
        "authorized_official_first_name": "KAT",
        "authorized_official_title_or_position": "HIPAA OFFICER",
        "authorized_official_telephone_number": "303-866-5871",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "CO",
            "license": "0196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05640032",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; 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.