NPIMap

Organization Active NPI

Pure Healthcare of Colorado LLC

  • Multi-Specialty Clinic/Center
  • Colorado Springs, CO
National Provider Identifier
1609400407
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
PURE HEALTHCARE OF COLORADO LLC
Practice address
320 E Fontanero St Ste 103
Colorado Springs, CO 80907-7535
Phone
(855) 550-3358
NPI assigned
Mar 2, 2020
Last updated
Jun 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Authorized official

Name
Rachel Fraga
Title
Contracting Manager
Phone
(801) 921-6325

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

320 E Fontanero St Ste 103
Colorado Springs, CO 80907-7535

Mailing address

4179 S Riverboat Rd Ste 220
Taylorsville, UT 84123-2986
Phone (801) 755-3387

Other practice location 1

2478 Patterson Rd Ste 20
Grand Junction, CO 81505-3606
Phone (970) 822-7700

Other practice location 2

400 S McCaslin Blvd Ste 211
Superior, CO 80027-9701
Phone (720) 722-6330

Other practice location 3

1411 S Potomac St Ste 310
Aurora, CO 80012-4539
Phone (303) 267-7220

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200416000225 CO Part B Supplier - Clinic/Group Practice 8426488396 Receives reassigned benefits from 6 practitioners
Practice locations: Aurora, CO; Superior, CO; Lone Tree, CO; Grand Junction, CO; Denver, CO; Colorado Springs, CO

National Provider Directory

National Provider Directory
Tax ID family
Pure Healthcare of Colorado LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

320 E Fontanero St
Colorado Springs, CO 80907
Phone (719) 227-9711

320 E Fontanero St
Ste 1030
Colorado Springs, CO 80907

Practitioners & affiliated clinicians

Practitioners 6

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": "1583107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1609400407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4179 S RIVERBOAT RD STE 220",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841232986",
            "telephone_number": "801-755-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E FONTANERO ST STE 103",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809077535",
            "telephone_number": "855-550-3358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2478 Patterson Rd Ste 20",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815053606",
            "country_code": "US",
            "telephone_number": "970-822-7700",
            "fax_number": "970-404-8100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 S McCaslin Blvd Ste 211",
            "address_purpose": "LOCATION",
            "city": "Superior",
            "state": "CO",
            "postal_code": "800279701",
            "country_code": "US",
            "telephone_number": "720-722-6330",
            "fax_number": "720-294-0290",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1411 S Potomac St Ste 310",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800124539",
            "country_code": "US",
            "telephone_number": "303-267-7220",
            "fax_number": "303-479-1179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PURE HEALTHCARE OF COLORADO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-02",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A",
        "authorized_official_last_name": "FRAGA",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "CONTRACTING MANAGER",
        "authorized_official_telephone_number": "801-921-6325"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.