NPIMap

Organization Active NPI

Colorado Coalition for the Homeless

Doing business as Stout Street Clinic at St Francis Center

  • Federally Qualified Health Center (FQHC)
  • Denver, CO
National Provider Identifier
1144469578
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COLORADO COALITION FOR THE HOMELESS
Doing business as
Stout Street Clinic at St Francis Center
Practice address
1001 Park Ave W
Denver, CO 80205-2605
Phone
(303) 244-0760
Fax
(303) 292-2091
NPI assigned
Feb 9, 2009
Last updated
Jan 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Authorized official

Name
Pete J Stoller
Title
Cfo
Phone
(303) 312-9606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

1001 Park Ave W
Denver, CO 80205-2605

Mailing address

2111 Champa St
Denver, CO 80205-2529
Phone (303) 293-2217

Other names 1

  • Stout Street Clinic at St Francis Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144469578. Details of each certification follow.

  • CCN 061908 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 061908

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
STOUT STREET CLINIC AT ST FRANCIS CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 17, 2010
Last certification
Sep 17, 2010
Ownership / control type
For profit – partnership
Facility address
1001 Park Avenue West
Denver, CO 80205

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735776000000",
    "number": "1144469578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 CHAMPA ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802052529",
            "telephone_number": "303-293-2217",
            "fax_number": "303-293-2309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 PARK AVE W",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802052605",
            "telephone_number": "303-244-0760",
            "fax_number": "303-292-2091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO COALITION FOR THE HOMELESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-09",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A",
        "authorized_official_last_name": "STOLLER",
        "authorized_official_first_name": "PETE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "303-312-9606"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stout Street Clinic at St Francis Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stout Street Clinic at St Francis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.