Dept. of Corrections-DWCF

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

87883 Issued in CO

Legal business name

DEPT. OF CORRECTIONS-DWCF

Practice address

3600 Havana St
Denver, CO 80239-3266

Phone

(303) 307-2600

NPI assigned

Dec 7, 2006

Last updated

Aug 8, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Nathan Pollack, MD

Title

Director of Medical Services

Phone

(303) 307-2600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218153600000",
    "number": "1174682934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 HAVANA ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802393266",
            "telephone_number": "303-307-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 HAVANA ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802393266",
            "telephone_number": "303-307-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPT. OF CORRECTIONS-DWCF",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-07",
        "last_updated": "2008-08-08",
        "status": "A",
        "authorized_official_last_name": "POLLACK",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "DIRECTOR OF MEDICAL SERVICES",
        "authorized_official_telephone_number": "303-307-2600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CO",
            "license": "87883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Denver, CO
• Providers in Denver, CO by specialty
• Health Service Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; 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.