Organization Active NPI

Bamboo Holdings, LLC

  • Health Service Clinic/Center
  • Denver, CO
National Provider Identifier
1508289612
Registry record updated Jan 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
BAMBOO HOLDINGS, LLC
Practice address
3955 E Exposition Ave Ste 104
Denver, CO 80209-5031
Phone
(720) 388-0386
Fax
(866) 889-6637
NPI assigned
Jan 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2014

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

Authorized official

Name
Mark Molinoff
Title
Manager
Phone
(720) 388-0386

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

3955 E Exposition Ave Ste 104
Denver, CO 80209-5031

Mailing address

3955 E Exposition Ave Ste 104
Denver, CO 80209-5031
Phone (720) 388-0386

National Provider Directory

National Provider Directory

Locations

3955 E Exposition Ave
Ste 104
Denver, CO 80209
Phone (303) 454-2266

NPI Registry JSON

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

{
    "created_epoch": "1390521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390521600000",
    "number": "1508289612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3955 E EXPOSITION AVE STE 104",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802095031",
            "telephone_number": "720-388-0386",
            "fax_number": "866-889-6637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3955 E EXPOSITION AVE STE 104",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802095031",
            "telephone_number": "720-388-0386",
            "fax_number": "866-889-6637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAMBOO HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-24",
        "last_updated": "2014-01-24",
        "status": "A",
        "authorized_official_last_name": "MOLINOFF",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "720-388-0386"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; 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.