NPIMap

Organization Active NPI

Denver Health and Hospital Authority

Doing business as Adult Urgent Care Center

  • Urgent Care Clinic/Center
  • Denver, CO
National Provider Identifier
1184202897
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
DENVER HEALTH AND HOSPITAL AUTHORITY
Doing business as
Adult Urgent Care Center
Practice address
660 N Bannock St
Suite #1057
Denver, CO 80204-4506
Phone
(303) 602-2822
NPI assigned
Apr 1, 2021
Last updated
Jan 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Authorized official

Name
April Audain
Title
Chief Financial Officer
Phone
(303) 602-4965

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

660 N Bannock St
Suite #1057
Denver, CO 80204-4506

Mailing address

777 Bannock St # Mc1923
Denver, CO 80204-4507
Phone (303) 436-6000

Other names 1

  • Adult Urgent Care Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210714001985 CO Part A Provider - Federally Qualified Health Center (FQHC) 2769893056 Practice locations: Denver, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1184202897. Details of each certification follow.

Federally qualified health center certification: CCN 061023

Legal name
DENVER HEALTH AND HOSPITAL AUTHORITY
Doing business as
ADULT URGENT CARE CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 1, 2021
Last certification
Jul 1, 2021
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Enrollment address
660 N Bannock St
Ste 1057
Denver, CO 80204-4506

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Denver Health and Hospital Authority4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

1330 Fox St
Denver, CO 80204
Phone (720) 337-4400

4007 W Colfax Ave
Denver, CO 80204
Phone (303) 502-5900

660 Bannock St
Ste 1057
Denver, CO 80204
Phone (303) 602-2822

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Rus Heise Individual Corporate DirectorBoard Member Jul 1, 2021
Patricia Dean Individual Corporate DirectorBoard Member Jul 1, 2021
Denver Health and Hospital Authority Organization, Denver, CO 5% Or Greater Direct Ownership Interest Jul 1, 2021 100%
Susan Powers Individual Corporate DirectorBoard Member Jul 1, 2021
John J Reilly Individual Corporate DirectorBoard Member Jul 1, 2021
Anne Warhover Individual Corporate DirectorBoard Member Jul 1, 2021
Fernando S Carreira Individual Corporate DirectorBoard Member Jul 1, 2021
Richard Jim Chavez Individual Corporate DirectorBoard Member Jul 1, 2021
Faraz Khan Individual Corporate OfficerChief Financial Officer Jul 1, 2021
Paul Washington Individual Corporate DirectorBoard Member Jul 1, 2021
Irene Aguilar Individual Corporate DirectorBoard Member Jul 1, 2021
Patti Klinge Individual Corporate DirectorBoard Member Jul 1, 2021
Kevin Quinn Individual Corporate DirectorBoard Member Jul 1, 2021
Jeremy Springston Individual W-2 Managing EmployeeDirector of Reimbursement Jul 1, 2021

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Rose Andom Health CenterDenver, CO, CCN 061020 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jun 11, 2019
Sloan's Lake Primary Care CenterDenver, CO, CCN 061021 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1997

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1184202897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 BANNOCK ST # MC1923",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802044507",
            "telephone_number": "303-436-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 N BANNOCK ST",
            "address_2": "SUITE #1057",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802044506",
            "telephone_number": "303-602-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENVER HEALTH AND HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-01",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "AUDAIN",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "303-602-4965"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adult Urgent Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Adult Urgent Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.