Organization Active NPI

Osha Healthcare LLC

  • Migrant Health Clinic/Center
  • Broomfield, CO
National Provider Identifier
1144822800
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Migrant Health Clinic/CenterTaxonomy code 261QM1000X
Legal business name
OSHA HEALTHCARE LLC
Practice address
49 Douglas Dr S
Broomfield, CO 80020-1105
Phone
(303) 440-0642
NPI assigned
Nov 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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

Authorized official

Name
Elizabeth Ann Cullen, FNP-BCNPI 1679556203
Title
Agent
Phone
(303) 440-0642

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Migrant Health Clinic/Center 261QM1000X Primary

Addresses

Primary practice location

49 Douglas Dr S
Broomfield, CO 80020-1105

Mailing address

49 Douglas Dr S
Broomfield, CO 80020-1105
Phone (303) 440-0642

Other identifiers 1

IdentifierTypeStateIssuer
20201924585OtherCOCO SECRETARY OF STATE

National Provider Directory

National Provider Directory

Locations

8405 Church Ranch Blvd
Westminster, CO 80021
Phone (303) 438-2322

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626393600000",
    "number": "1144822800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 DOUGLAS DR S",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800201105",
            "telephone_number": "303-440-0642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 DOUGLAS DR S",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800201105",
            "telephone_number": "303-440-0642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSHA HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-09",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A",
        "authorized_official_last_name": "CULLEN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "303-440-0642",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Migrant Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CO SECRETARY OF STATE",
            "identifier": "20201924585",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

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