NPIMap

Organization Active NPI

Colorado Coalition for the Homeless

Doing business as West End Health Center

  • Federally Qualified Health Center (FQHC)
  • Denver, CO
National Provider Identifier
1477819506
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
West End Health Center
Practice address
5050 W Colfax Ave
Denver, CO 80204-1015
Phone
(303) 293-2220
NPI assigned
Apr 3, 2012
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 CO Primary

Addresses

Primary practice location

5050 W Colfax Ave
Denver, CO 80204-1015

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
52137554MedicaidCO
061922OtherCOMEDICARE

Other names 1

  • West End Health Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120525000489 CO Part A Provider - Federally Qualified Health Center (FQHC) 7618958687 Practice locations: Denver, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1477819506. Details of each certification follow.

Federally qualified health center certification: CCN 061922

Legal name
COLORADO COALITION FOR THE HOMELESS
Doing business as
WEST END HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 2, 2012
Last certification
Jul 2, 2012
Ownership / control type
For profit – partnership
Organization structure
OtherNon-profit
Incorporated
May 1, 1984 in CO
Enrollment address
5050 W Colfax Ave
West End Health Center
Denver, CO 80204-1015

Other NPIs with the same Medicare PAC ID 7

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2324350West End Health Center5050 W Colfax Ave, Denver, CO 80204Provider-performed microscopyMay 21, 2027

National Provider Directory

National Provider Directory
Tax ID family
Colorado Coalition for the38 organizations share this tax ID, including this one

Other organizations with this tax ID 37

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

View all 37

Locations

5050 W Colfax Ave
Denver, CO 80204
Phone (303) 312-9750

Ownership & related parties

All disclosed owners & managing parties 25

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

NameRoleSinceShare
Charles F Savage Individual Corporate Director Nov 10, 2015
Leanne D Wheeler Individual Corporate Director Jan 10, 2013
Cuicatl G Montoya Individual Corporate Director Mar 1, 2020
James R Davis Individual Corporate Director Apr 10, 2012
Jynx N Messacar Individual Corporate Director Jul 1, 2014
James R Brown Individual Corporate Director Apr 10, 2012
Randle Loeb Individual Corporate Director Apr 10, 2012
Jane Tidball Individual Corporate Director Mar 1, 2020
Christopher Aaron Bates Individual Corporate Director Sep 3, 2013
Jennifer a Bettridge Individual Corporate Director Oct 6, 2015
Sam Mamet Individual Corporate Director Mar 1, 2020
Norman Haglund Individual Corporate Director Aug 2, 2016
Donna R Hilton Individual Corporate Director Mar 1, 2020
Andrew Romero Individual Corporate Director Mar 1, 2020
Britta Elise Monson Fisher Individual Operational/Managerial ControlCeo Apr 5, 2023 100%
James Winston Individual Corporate Director Apr 10, 2012
Thomas R Reid Individual Corporate Director Apr 10, 2012
Katherine H Kaley Individual Corporate Director Jan 5, 2017
Theresa Helweg Individual W-2 Managing EmployeeDirector of Revenue Cycle Jan 1, 2013
Colorado Coalition for the Homeless Organization, Denver, CO Non-profit 5% Or Greater Direct Ownership Interest Apr 10, 2012
Pete Stoller Individual Corporate OfficerCfo Jan 1, 2014
Lori a Malone Individual Corporate Director Feb 8, 2017
Darrell a Brown Individual Corporate Director Sep 10, 2013
Joel S Neckers Individual Corporate Director Jan 5, 2017
Melissa Jones Individual Corporate Director Mar 1, 2020

Owners & managing parties with NPI records 8

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

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
Ft Lyon Health Care for the HomelessFort Lyon, CO, CCN 061952 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Feb 2, 2014
2100 Broadway Services BuildingDenver, CO, CCN 061955 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Feb 20, 2014
Colorado Coalition for the HomelessDenver, CO, CCN 061035 Federally qualified health center 5% Or Greater Direct Ownership Interest (0.05%) Mar 7, 2022
Stout Street Recuperative Care CenterDenver, CO, CCN 061045 Federally qualified health center 5% Or Greater Direct Ownership Interest Jan 1, 2022

Owned or controlled facilities with NPI records 4

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

Facilities with the same owner 4

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

NPI Registry JSON

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735776000000",
    "number": "1477819506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 CHAMPA STREET",
            "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": "5050 W COLFAX AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802041015",
            "telephone_number": "303-293-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO COALITION FOR THE HOMELESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-03",
        "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": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52137554",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "061922",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West End Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "West End Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.