NPIMap

Organization Active NPI

Children's Hospital Colorado

Doing business as Children's Colorado Regional Outreach Clinic - Pueblo - A&AA

  • Multi-Specialty Clinic/Center
  • Pueblo, CO
National Provider Identifier
1487236089
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
CHILDREN'S HOSPITAL COLORADO
Doing business as
Children's Colorado Regional Outreach Clinic - Pueblo - A&AA
Practice address
517 Colorado Ave
Pueblo, CO 81004-2075
Phone
(719) 564-2503
NPI assigned
Apr 22, 2021
Last updated
Apr 22, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
CHILDREN'S HOSPITAL COLORADOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Authorized official

Name
Linda Michael
Title
VP, Chief Compliance Officer
Phone
(720) 777-6537

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

517 Colorado Ave
Pueblo, CO 81004-2075

Mailing address

13123 E 16TH Ave # B095
Aurora, CO 80045-7106
Phone (720) 777-1234

Other names 1

  • Children's Colorado Regional Outreach Clinic - Pueblo - A&AA Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Children's Hospital Aurora Co55 organizations share this tax ID, including this one
Part of
The Children's Hospital Aurora Co

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1487236089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13123 E 16TH AVE # B095",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800457106",
            "telephone_number": "720-777-1234",
            "fax_number": "720-777-7257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 COLORADO AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810042075",
            "telephone_number": "719-564-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S HOSPITAL COLORADO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHILDREN'S HOSPITAL COLORADO",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "MICHAEL",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "VP, CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "720-777-6537"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Colorado Regional Outreach Clinic - Pueblo - A&AA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.